BAILEY JOEL KELLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

BAILEY

Middle

JOEL

Last Name

KELLER

Business Name

BAILEY JOEL KELLER

Original Issue Date

10/17/2025

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026