KELLY L VANDERHAVE MD - Medical Doctor License in North Carolina | # 036147691

KELLY L VANDERHAVE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147691

License Status

NOT RENEWED

Business

N

Title

MD

First Name

KELLY

Middle

L

Last Name

VANDERHAVE

Business Name

KELLY L VANDERHAVE MD

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

09/30/2020

State

NC

Ever Disciplined

N

LastModifiedDate

01/14/2021