KELLEY P ANDERSON MD - Medical Doctor License in Utah | # 036058327

KELLEY P ANDERSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058327

License Status

INACTIVE

Business

N

First Name

KELLEY P

Last Name

ANDERSON

Suffix

MD

Business Name

KELLEY P ANDERSON MD

Original Issue Date

02/21/1979

Effective Date

02/21/1979

Expiration Date

07/31/1987

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006