JEFFREY KEITH MCKENNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

KEITH

Last Name

MCKENNA

Suffix

Business Name

JEFFREY KEITH MCKENNA MD

Original Issue Date

07/16/2007

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023