LAWRENCE WILLIAM KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159749

License Status

ACTIVE

Business

Title

First Name

LAWRENCE

Middle

WILLIAM

Last Name

KELLY

Business Name

LAWRENCE WILLIAM KELLY MD

Original Issue Date

03/11/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PORT JEFFERSON

State

Zip

11777

Ever Disciplined

LastModifiedDate

09/28/2023