License holder summary

KELLIE SUSAN M is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for KELLIE SUSAN M is CORRALES NM. This doctor license is not current. The license was granted 11/13/1989.

New York

Office of the Professions

KELLIE SUSAN M
Medicine (Physician, Including M Ds & D Os)
License number
180681
Date granted
11/13/1989
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
CORRALES NM
nymedicine.org
ID 30184934
LAST UPDATED 2024-04-22 10:25:52 UTC

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