STEPHEN M KELLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

STEPHEN M

Last Name

KELLEY

Suffix

Business Name

STEPHEN M KELLEY MD

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

07/31/1999

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006