KEITH L PROBST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

KEITH L

Last Name

PROBST

Business Name

KEITH L PROBST

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

07/31/1993

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006