JOHN JEFFREY KEITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

JOHN JEFFREY

Last Name

KEITH

Suffix

Business Name

JOHN JEFFREY KEITH MD

Original Issue Date

06/10/1982

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023