MICHAEL J KELLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079295

License Status

INACTIVE

Business

First Name

MICHAEL J

Last Name

KELLY

Suffix

Business Name

MICHAEL J KELLY MD

Original Issue Date

08/05/1989

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014