SUSAN ELAINE KELLY MD - Medical Doctor License in Massachusetts | # 33*****24

SUSAN ELAINE KELLY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

CANCELLED

Business

N

First Name

SUSAN ELAINE

Last Name

KELLY

Suffix

MD

Business Name

SUSAN ELAINE KELLY MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

State

MA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006