JUDITH A KELLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106652

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

KELLEY

Business Name

JUDITH A KELLEY

Original Issue Date

03/29/2002

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/14/2021