JAMES PATRICK KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051865

License Status

NOT RENEWED

Business

First Name

JAMES PATRICK

Last Name

KELLY

Suffix

Business Name

JAMES PATRICK KELLY MD

Original Issue Date

09/12/1975

Effective Date

09/12/1975

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006