DAVID WAYNE KELLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129650

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

WAYNE

Last Name

KELLEY

Business Name

DAVID WAYNE KELLEY DO

Original Issue Date

02/22/2012

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

LITTLE ROCK

State

Zip

72227

County

PULASKI

Ever Disciplined

LastModifiedDate

11/01/2017