ANDREW JACOB KETO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066384

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JACOB

Last Name

KETO

Business Name

ANDREW JACOB KETO DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2015