KEITH S NEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

NEAL

Suffix

Business Name

KEITH S NEAL MD

Original Issue Date

01/25/1988

Effective Date

01/25/1988

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006