KEITH THOMAS CORPUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

THOMAS

Last Name

CORPUS

Business Name

KEITH THOMAS CORPUS MD

Original Issue Date

03/01/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023