NICOLE CHRISTINE KELLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

CHRISTINE

Last Name

KELLER

Business Name

NICOLE CHRISTINE KELLER DO

Original Issue Date

03/26/2012

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023