KEITH ALAN KNEPEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

KEITH

Middle

ALAN

Last Name

KNEPEL

Suffix

Business Name

KEITH ALAN KNEPEL MD

Original Issue Date

11/04/1997

Effective Date

11/04/1997

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006