KELLEY MARIE STRUBLE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148918

License Status

NOT RENEWED

Business

Title

First Name

KELLEY

Middle

MARIE

Last Name

STRUBLE

Business Name

KELLEY MARIE STRUBLE DO

Original Issue Date

04/04/2019

Effective Date

04/04/2019

Expiration Date

09/30/2020

City

SAN FRANCISCO

State

Zip

94105

Ever Disciplined

LastModifiedDate

01/14/2021