MALLORY JEAN KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145039

License Status

ACTIVE

Business

Title

First Name

MALLORY

Middle

JEAN

Last Name

KELLY

Business Name

MALLORY JEAN KELLY MD

Original Issue Date

02/01/2018

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/13/2023