KELLEY H ROUSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107566

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

Last Name

ROUSE

Business Name

KELLEY H ROUSE

Original Issue Date

07/30/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHARLOTTE

State

Zip

28214

Ever Disciplined

LastModifiedDate

11/06/2008