BRIAN J KEYES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

KEYES

Business Name

BRIAN J KEYES DO

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

07/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014