DAVID M KEUCHEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000171

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

KEUCHEL

Business Name

DAVID M KEUCHEL

Original Issue Date

07/02/1992

Effective Date

07/02/1992

Expiration Date

10/30/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Maternal-Fetal Medicine

Ever Disciplined

LastModifiedDate

09/25/2006