JENS PETER KELLERMEIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

JENS

Middle

PETER

Last Name

KELLERMEIER

Suffix

Business Name

JENS PETER KELLERMEIER MD

Original Issue Date

06/11/2003

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023