THOMAS JOSEPH KELLY JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057129

License Status

INACTIVE

Business

First Name

THOMAS JOSEPH

Last Name

KELLY JR

Suffix

Business Name

THOMAS JOSEPH KELLY JR MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

SOUTH BEND

State

Zip

46601

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006