KELLY WITHERS WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122294

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

WITHERS

Last Name

WEST

Suffix

Business Name

KELLY WITHERS WEST MD

Original Issue Date

12/04/2008

Effective Date

12/04/2008

Expiration Date

07/31/2011

City

ATLANTA

State

Zip

30342

Ever Disciplined

LastModifiedDate

11/14/2011