MICHAEL J KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

KELLY

Suffix

Business Name

MICHAEL J KELLY MD

Original Issue Date

10/10/1989

Effective Date

10/10/1989

Expiration Date

07/31/1993

City

BUFFALO

State

Zip

52728

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011