JONATHAN TAYLOR KETZLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

TAYLOR

Last Name

KETZLER

Suffix

Business Name

JONATHAN TAYLOR KETZLER MD

Original Issue Date

04/13/2010

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

53508

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/25/2023