LAWRENCE JAMES KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093102

License Status

NOT RENEWED

Business

First Name

LAWRENCE JAMES

Last Name

KELLY

Suffix

Business Name

LAWRENCE JAMES KELLY MD

Original Issue Date

06/06/1996

Effective Date

06/06/1996

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006