DOUGLAS A KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

KELLY

Suffix

Business Name

DOUGLAS A KELLY MD

Original Issue Date

03/11/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

TULSA

State

Zip

74137

County

OKLAHOMA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014