DOUGLAS JOHN KELLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163357

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

JOHN

Last Name

KELLEY

Business Name

DOUGLAS JOHN KELLEY DO

Original Issue Date

01/10/2023

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

GROSSE ILE

State

Zip

48138

County

WAYNE

Ever Disciplined

LastModifiedDate

06/17/2023