KEITH ACTON ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

ACTON

Last Name

ALLEN

Business Name

KEITH ACTON ALLEN MD

Original Issue Date

04/26/2022

Effective Date

04/26/2022

Expiration Date

07/31/2023

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023