MICHAEL J KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

KELLY

Suffix

Business Name

MICHAEL J KELLY MD

Original Issue Date

03/06/2003

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

DAVENPORT

State

Zip

52802

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014