LISA M KELLMAN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070206

License Status

INACTIVE

Business

First Name

LISA M

Last Name

KELLMAN

Suffix

Business Name

LISA M KELLMAN DO

Original Issue Date

03/21/1985

Effective Date

03/21/1985

Expiration Date

07/31/1999

City

SANTA MONICA

State

Zip

90403

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006