TYLER JAMES KELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

TYLER

Middle

JAMES

Last Name

KELLER

Business Name

TYLER JAMES KELLER MD

Original Issue Date

04/03/2017

Effective Date

04/03/2017

Expiration Date

09/30/2020

City

CINCINNATI

State

Zip

45230

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021