JAY SHANNON KELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

SHANNON

Last Name

KELLER

Business Name

JAY SHANNON KELLER MD

Original Issue Date

04/17/2012

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023