MICHAEL T KELLY DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072991

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

KELLY

Suffix

Business Name

MICHAEL T KELLY DO

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/31/1990

City

SYRACUSE

State

Zip

13210

Ever Disciplined

LastModifiedDate

05/26/2009