KELLY M ELLESON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153191

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

Last Name

ELLESON

Business Name

KELLY M ELLESON MD

Original Issue Date

05/29/2020

Effective Date

05/29/2020

Expiration Date

07/31/2023

City

WEEKI WACHEE

State

Zip

34607

Ever Disciplined

LastModifiedDate

11/30/2023