SUSAN ANN KEILER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

ANN

Last Name

KEILER

Business Name

SUSAN ANN KEILER MD

Original Issue Date

02/22/2010

Effective Date

02/22/2010

Expiration Date

07/31/2011

City

SHEBOYGAN

State

Zip

53083

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020