KEITH RAPHAEL DORAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173966

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

RAPHAEL

Last Name

DORAM

Business Name

KEITH RAPHAEL DORAM MD

Original Issue Date

02/28/2025

Effective Date

02/28/2025

Expiration Date

07/31/2026

City

CARMEL

State

Zip

46033

County

HAMILTON

Ever Disciplined

LastModifiedDate

02/28/2025