JOHN STEPHEN KELLY JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047577

License Status

INACTIVE

Business

First Name

JOHN STEPHEN

Last Name

KELLY JR

Suffix

Business Name

JOHN STEPHEN KELLY JR MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

07/31/1996

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006