PETER JONATHAN KELLY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

PETER

Middle

JONATHAN

Last Name

KELLY

Business Name

PETER JONATHAN KELLY DO

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

07/31/2026

City

HADDONFIELD

State

Zip

08033

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024