KELLIE RENE BROWN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102623

License Status

INACTIVE

Business

First Name

KELLIE

Middle

RENE

Last Name

BROWN

Suffix

Business Name

KELLIE RENE BROWN MD

Original Issue Date

06/07/2000

Effective Date

06/07/2000

Expiration Date

07/31/2002

City

MILWAUKEE

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006