KEITH S WEXLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094344

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

WEXLER

Suffix

Business Name

KEITH S WEXLER MD

Original Issue Date

10/09/1996

Effective Date

10/20/2010

Expiration Date

07/31/2011

City

RUSSIAVILLE

State

Zip

46979

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011