KEITH ALLAN NALLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100487

License Status

ACTIVE

Business

First Name

KEITH

Middle

ALLAN

Last Name

NALLEY

Suffix

Business Name

KEITH ALLAN NALLEY DO

Original Issue Date

07/01/1999

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

08/19/2023