TIMOTHY L KELLY - Medical Doctor License in Oregon | # 036105906

TIMOTHY L KELLY

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105906

License Status

INACTIVE

Business

N

First Name

TIMOTHY

Middle

L

Last Name

KELLY

Business Name

TIMOTHY L KELLY

Original Issue Date

11/28/2001

Effective Date

11/28/2001

Expiration Date

07/31/2002

State

OR

Ever Disciplined

N

LastModifiedDate

10/09/2006