MICHAEL J KELLUM MD - Medical Doctor License in Wisconsin | # 036068853

MICHAEL J KELLUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068853

License Status

NOT RENEWED

Business

N

First Name

MICHAEL J

Last Name

KELLUM

Suffix

MD

Business Name

MICHAEL J KELLUM MD

Original Issue Date

06/18/1984

Effective Date

05/18/2011

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

11/17/2014