KELLY L VANDERHAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147691

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

Last Name

VANDERHAVE

Business Name

KELLY L VANDERHAVE MD

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

09/30/2020

City

CHARLOTTE

State

Zip

28209

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

01/14/2021