MARY ELIZABETH KELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

KELLER

Suffix

Business Name

MARY ELIZABETH KELLER MD

Original Issue Date

08/22/2002

Effective Date

08/22/2002

Expiration Date

07/31/2008

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020