MICHAEL P KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154569

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

KELLY

Business Name

MICHAEL P KELLY MD

Original Issue Date

10/21/2020

Effective Date

10/21/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023