ROBERT M KELLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KELLER

Business Name

ROBERT M KELLER

Original Issue Date

02/21/2002

Effective Date

01/28/2016

Expiration Date

03/01/2018

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2018