License holder summary

KELLY RUSSELL STEPHEN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for KELLY RUSSELL STEPHEN is MILILANI HI. This doctor license is current. The license was granted 09/17/1984 and expired on 10/31/2015.

New York

Office of the Professions

KELLY RUSSELL STEPHEN
Medicine (Physician, Including M Ds & D Os)
License number
160060
Date granted
09/17/1984
Date expires
10/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
MILILANI HI
nymedicine.org
ID 30185140
LAST UPDATED 2024-02-07 14:44:45 UTC

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