KELLY RAPHAEL NELSON MD - Medical Doctor License in West Virginia | # 036133801

KELLY RAPHAEL NELSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133801

License Status

INACTIVE

Business

N

Title

MD

First Name

KELLY

Middle

RAPHAEL

Last Name

NELSON

Business Name

KELLY RAPHAEL NELSON MD

Original Issue Date

08/16/2013

Effective Date

08/16/2013

Expiration Date

07/31/2014

State

WV

Ever Disciplined

N

LastModifiedDate

04/08/2014