KEISHA MARIE WHITE MAKINDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

KEISHA

Middle

MARIE

Last Name

WHITE MAKINDE

Business Name

KEISHA MARIE WHITE MAKINDE MD

Original Issue Date

09/24/2021

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023