MICHAEL J KELLUM MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006078

License Status

NOT RENEWED

Business

Business Name

MICHAEL J KELLUM MD SC

Original Issue Date

10/09/1986

Effective Date

10/09/1986

Expiration Date

01/01/1996

City

WHITEWATER

State

Zip

53190

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006