KELLEY R SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106883

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

Last Name

SMITH

Suffix

Business Name

KELLEY R SMITH DO

Original Issue Date

05/07/2002

Effective Date

05/07/2002

Expiration Date

07/31/2005

City

CANONSBURG

State

Zip

15317

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006