BRIAN JOSEPH KELLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057823

License Status

INACTIVE

Business

First Name

BRIAN JOSEPH

Last Name

KELLY

Suffix

Business Name

BRIAN JOSEPH KELLY MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/31/1996

City

GLENCOE

State

Zip

63038

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006