RUSSELL F KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

RUSSELL F

Last Name

KELLY

Suffix

Business Name

RUSSELL F KELLY MD

Original Issue Date

04/10/2023

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

THE WOODLANDS

State

Zip

77375

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023