KELLY E BEWSEY - Medical Doctor License in Illinois | # 125039601

KELLY E BEWSEY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039601

License Status

EXPIRED

Business

N

First Name

KELLY

Middle

E

Last Name

BEWSEY

Business Name

KELLY E BEWSEY

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

09/22/2006