KEITH EDWARD ROCKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

EDWARD

Last Name

ROCKEY

Suffix

Business Name

KEITH EDWARD ROCKEY MD

Original Issue Date

07/29/2009

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014