ANNE ELIZABETH CODERE KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

ANNE

Middle

ELIZABETH CODERE

Last Name

KELLY

Business Name

ANNE ELIZABETH CODERE KELLY MD

Original Issue Date

08/11/2017

Effective Date

08/11/2017

Expiration Date

09/30/2020

City

LANSING

State

Zip

48910

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021