KELLEY FORD SHIPPEY III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164472

License Status

ACTIVE

Business

Title

First Name

KELLEY

Middle

FORD

Last Name

SHIPPEY III

Business Name

KELLEY FORD SHIPPEY III MD

Original Issue Date

04/20/2023

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SURFSIDE BEACH

State

Zip

29575

Ever Disciplined

LastModifiedDate

03/12/2024