License holder summary

Keith Buell Moulton is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Keith Buell Moulton is 502 2nd Ave S, St. James, MN 56081. This doctor license is current. The license was granted 11/13/1953 and expired on 06/30/2011.

Department of Safety and Professional Services

Board of Medical Practice

Keith Buell Moulton
Medical - Physician And Surgeon
License number
12871
Date granted
11/13/1953
Date expires
06/30/2011
Class
Medical - Physician And Surgeon
Status
Active
Address
502 2nd Ave S, St. James, MN 56081
doctorsminnesota.org
ID 22264511
LAST UPDATED 2024-02-09 19:56:39 UTC

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