RICHARD SCOTT KELLER 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

Title

First Name

RICHARD

Middle

SCOTT

Last Name

KELLER

Business Name

RICHARD SCOTT KELLER MD

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020