License holder summary

KELLY ANNE SUPPLE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for KELLY ANNE SUPPLE is Everett WA 98201. This medical practitioner license is not current. The license was granted 05/03/2011 and expired on 12/31/2014.

Department of State

Board of Medicine

KELLY ANNE SUPPLE
Medical Physician And Surgeon
License number
MD442672
Date granted
05/03/2011
Date expires
12/31/2014
Class
Medical Physician And Surgeon
Status
Inactive
Address
Everett WA 98201
medicinepa.com
ID 37679308
LAST UPDATED 2024-03-20 03:43:48 UTC

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