License holder summary

KEITH COOPER DOUGLAS is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KEITH COOPER DOUGLAS is Nashville TN 37205. This medical practitioner license is not current. The license was granted 06/03/2011 and expired on 07/31/2012.

Department of State

Board of Medicine

KEITH COOPER DOUGLAS
Graduate Medical Trainee
License number
MT200197
Date granted
06/03/2011
Date expires
07/31/2012
Class
Graduate Medical Trainee
Status
Expired
Address
Nashville TN 37205
medicinepa.com
ID 37528574
LAST UPDATED 2024-03-25 21:54:57 UTC

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