MICHAEL P KELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

KELLER

Suffix

Business Name

MICHAEL P KELLER MD

Original Issue Date

08/11/1993

Effective Date

08/11/1993

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006