DAVID MICHAEL KELLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126370

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

KELLEY

Business Name

DAVID MICHAEL KELLEY MD

Original Issue Date

08/02/2010

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017