KELLY KRISTEN O'MALIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

KRISTEN

Last Name

O'MALIA

Business Name

KELLY KRISTEN O'MALIA MD

Original Issue Date

08/10/2022

Effective Date

08/10/2022

Expiration Date

07/31/2023

City

MENTOR

State

Zip

44060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023