DAVID M KELLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072266

License Status

INACTIVE

Business

First Name

DAVID M

Last Name

KELLER

Suffix

Business Name

DAVID M KELLER MD

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

07/31/1990

City

NORTHBRIDGE

State

Zip

01534

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/29/2012