JOHN JEFFREY KEITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JOHN JEFFREY

Last Name

KEITH

Suffix

Business Name

JOHN JEFFREY KEITH MD

Original Issue Date

06/10/1982

Effective Date

06/10/1982

Expiration Date

07/31/1984

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020