ROBERT M KELLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001728

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KELLER

Business Name

ROBERT M KELLER

Original Issue Date

11/29/2001

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/24/2020