AUSTIN MICHAEL KELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085218

License Status

ACTIVE

Business

Title

First Name

AUSTIN

Middle

MICHAEL

Last Name

KELLER

Business Name

AUSTIN MICHAEL KELLER MD

Original Issue Date

06/23/2025

Effective Date

06/23/2025

Expiration Date

06/22/2028

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2025