JULIE LYNN KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

JULIE

Middle

LYNN

Last Name

KELLEY

Suffix

Business Name

JULIE LYNN KELLEY MD

Original Issue Date

06/01/1999

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023