KELLY WITHERS WEST MD - Medical Doctor License in Georgia | # 036122294

KELLY WITHERS WEST MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122294

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

WITHERS

Last Name

WEST

Suffix

MD

Business Name

KELLY WITHERS WEST MD

Original Issue Date

12/04/2008

Effective Date

12/04/2008

Expiration Date

07/31/2011

State

GA

Ever Disciplined

N

LastModifiedDate

11/14/2011