KELLI M KELLER 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

KELLI

Middle

Last Name

KELLER

Business Name

KELLI M KELLER

Original Issue Date

12/04/2006

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023