GWENDOLYN V KELLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096163

License Status

NOT RENEWED

Business

First Name

GWENDOLYN V

Last Name

KELLY

Business Name

GWENDOLYN V KELLY

Original Issue Date

07/24/1997

Effective Date

07/24/1997

Expiration Date

07/31/1999

City

EARLYSVILLE

State

Zip

22936

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006