JOHN EDWARD KEITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037843

License Status

INACTIVE

Business

First Name

JOHN EDWARD

Last Name

KEITH

Suffix

Business Name

JOHN EDWARD KEITH MD

Original Issue Date

07/03/1962

Effective Date

07/03/1962

Expiration Date

07/31/1996

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006