RUSSELL PHELPS KELLEY, IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145891

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

PHELPS

Last Name

KELLEY, IV

Business Name

RUSSELL PHELPS KELLEY, IV MD

Original Issue Date

04/30/2018

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75219

Ever Disciplined

LastModifiedDate

05/16/2024