KEVIN J KELLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096258

License Status

INACTIVE

Business

First Name

KEVIN J

Last Name

KELLY

Suffix

Business Name

KEVIN J KELLY MD

Original Issue Date

08/04/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

KANSAS CITY

State

Zip

64108

Ever Disciplined

LastModifiedDate

11/03/2009