ANDREW JACOB KETO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

JACOB

Last Name

KETO

Business Name

ANDREW JACOB KETO DO

Original Issue Date

08/22/2018

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023