THOMAS EDWARD CODERE KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150315

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

EDWARD CODERE

Last Name

KELLY

Business Name

THOMAS EDWARD CODERE KELLY MD

Original Issue Date

07/24/2019

Effective Date

07/24/2019

Expiration Date

09/30/2020

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

01/14/2021