KELLY L EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096988

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

EVANS

Suffix

Business Name

KELLY L EVANS MD

Original Issue Date

11/13/1997

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/17/2014