KEITH ALLAN NALLEY DO 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

KEITH

Middle

ALLAN

Last Name

NALLEY

Suffix

Business Name

KEITH ALLAN NALLEY DO

Original Issue Date

08/06/2004

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021