STEPHEN M KELLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092457

License Status

NOT RENEWED

Business

First Name

STEPHEN M

Last Name

KELLEY

Suffix

Business Name

STEPHEN M KELLEY MD

Original Issue Date

02/27/1996

Effective Date

02/27/1996

Expiration Date

07/31/1999

City

OAKDALE

State

Zip

11769

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/29/2018