JOHN STEPHEN KELLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028764

License Status

INACTIVE

Business

First Name

JOHN STEPHEN

Last Name

KELLY

Suffix

Business Name

JOHN STEPHEN KELLY MD

Original Issue Date

05/24/1948

Effective Date

05/24/1948

Expiration Date

07/31/2002

City

MANASSAS

State

Zip

22110

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006