License holder summary

Ellis, Keith Wade is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 03/22/2000 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Ellis, Keith Wade
Medical Physician & Surgeon
License number
2000151548  
Date granted
03/22/2000
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2114877
LAST UPDATED 2026-06-14 01:44:29 UTC

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