KRISTEN MARIE KATHRYN KELLY-WILLIAMS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

MARIE KATHRYN

Last Name

KELLY-WILLIAMS

Business Name

KRISTEN MARIE KATHRYN KELLY-WILLIAMS MD

Original Issue Date

08/11/2021

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

APPLE VALLEY

State

Zip

55124

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023