STEPHEN MARK KELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059794

License Status

NOT RENEWED

Business

First Name

STEPHEN MARK

Last Name

KELLER

Suffix

Business Name

STEPHEN MARK KELLER MD

Original Issue Date

11/28/1979

Effective Date

11/28/1979

Expiration Date

07/31/1984

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006