LACEE A KELLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004126

License Status

ACTIVE

Business

First Name

LACEE

Middle

Last Name

KELLER

Business Name

LACEE A KELLER

Original Issue Date

09/14/2011

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2025