WILLIAM ROBERT KELLEY JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

WILLIAM ROBERT

Last Name

KELLEY JR

Business Name

WILLIAM ROBERT KELLEY JR

Original Issue Date

12/19/1983

Effective Date

12/19/1983

Expiration Date

07/31/1987

City

VALPARAISO

State

Zip

46383

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006