MARK A KELLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083967

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

KELLEY

Suffix

Business Name

MARK A KELLEY MD

Original Issue Date

02/07/1992

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

YPSILANTI

State

Zip

48197

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017