JEREMIAH FRANCIS KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097447

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

FRANCIS

Last Name

KELLY

Suffix

Business Name

JEREMIAH FRANCIS KELLY MD

Original Issue Date

03/16/1998

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/17/2014