License holder summary

JACKIE D KELLER is a Physician licensed to practice in Indiana. The address on file for JACKIE D KELLER is NEWBURGH IN 47630. This licensed professional license is not current. The license was granted 08/05/1977 and expired on 06/30/1980.

Indiana

Professional Licensing Agency

JACKIE D KELLER
Physician
License number
01027689A
Date granted
08/05/1977
Date expires
06/30/1980
Class
Physician
Status
Expired Non-Renewable
Address
NEWBURGH IN 47630
indianalicensing.org
ID 6088632
LAST UPDATED 2024-02-03 15:45:19 UTC

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