KELLEY WILLIAMS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

KELLEY

Last Name

WILLIAMS

Business Name

KELLEY WILLIAMS MD

Original Issue Date

06/29/2023

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63109

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023