SARAH J KELLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112100

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

KELLER

Business Name

SARAH J KELLER

Original Issue Date

08/12/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

STURGEON BAY

State

Zip

54235

Ever Disciplined

LastModifiedDate

11/06/2008