DAVID WILLIAM KEETCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILLIAM

Last Name

KEETCH

Suffix

Business Name

DAVID WILLIAM KEETCH MD

Original Issue Date

06/18/2001

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021