SCOTT W KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113515

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

KELLEY

Suffix

Business Name

SCOTT W KELLEY MD

Original Issue Date

04/21/2005

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/06/2023