TIMOTHY L KELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071086

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY L

Last Name

KELLA

Business Name

TIMOTHY L KELLA MD

Original Issue Date

07/02/1985

Effective Date

09/19/2020

Expiration Date

07/31/2023

City

CREVE COEUR

State

Zip

63141

Ever Disciplined

LastModifiedDate

11/30/2023