KELLEY P ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058327

License Status

INACTIVE

Business

First Name

KELLEY P

Last Name

ANDERSON

Suffix

Business Name

KELLEY P ANDERSON MD

Original Issue Date

02/21/1979

Effective Date

02/21/1979

Expiration Date

07/31/1987

City

SALT LAKE CITY

State

Zip

84124

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006