BRIAN J KEYES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130099

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

KEYES

Business Name

BRIAN J KEYES DO

Original Issue Date

04/16/2012

Effective Date

04/16/2012

Expiration Date

07/31/2014

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014