KEELY FISCHBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

KEELY

Last Name

FISCHBACH

Business Name

KEELY FISCHBACH MD

Original Issue Date

11/16/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023