KEITH HARVEY IFFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

KEITH

Middle

HARVEY

Last Name

IFFT

Suffix

Business Name

KEITH HARVEY IFFT MD

Original Issue Date

07/22/1986

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

FARMINGTON

State

Zip

61531

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023