EDWARD JOSEPH KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167268

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

JOSEPH

Last Name

KELLY

Business Name

EDWARD JOSEPH KELLY MD

Original Issue Date

10/05/2023

Effective Date

10/05/2023

Expiration Date

07/31/2026

City

ALEXANDRIA

State

Zip

22314

Ever Disciplined

LastModifiedDate

10/02/2023