KELLY L EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

EVANS

Suffix

Business Name

KELLY L EVANS MD

Original Issue Date

01/28/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011