License holder summary

KELLY, MICHAEL DWAYNE, DO is a Medical - Physician licensed to practice in Georgia. The address on file for KELLY, MICHAEL DWAYNE, DO is 1125 CYPRESS STATION DRIVE, SUIT, HOUSTON 77090. This doctor license is not current. The license was granted 08/07/2009 and expired on 01/31/2013.

Georgia

Composite Medical Board

KELLY, MICHAEL DWAYNE, DO
Medical - Physician
License number
063079
Date granted
08/07/2009
Date expires
01/31/2013
Class
Medical - Physician
Status
Lapsed
Address
1125 CYPRESS STATION DRIVE, SUIT
georgiadoctors.net
ID 38055785
LAST UPDATED 2024-03-21 21:02:10 UTC

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