KEITH T OLDHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100250

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

Last Name

OLDHAM

Business Name

KEITH T OLDHAM MD

Original Issue Date

05/24/1999

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/10/2015