KRISTINE M KEENEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111060

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

KEENEY

Suffix

Business Name

KRISTINE M KEENEY MD

Original Issue Date

03/22/2004

Effective Date

03/22/2004

Expiration Date

07/31/2005

City

JAMESVILLE

State

Zip

13078

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006