KEITH J ANDERSON Surgical Assistant/Technologist License verification

Business Entity

ACTIVE

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238010978

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

ANDERSON

Business Name

KEITH J ANDERSON

Original Issue Date

03/24/2026

Effective Date

03/24/2026

Expiration Date

04/30/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/24/2026