CAROLYN MARIE KELLY DPM - Podiatrist License in Illinois | # 135000752

CAROLYN MARIE KELLY DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000752

License Status

EXPIRED

Business

N

Title

DPM

First Name

CAROLYN

Middle

MARIE

Last Name

KELLY

Business Name

CAROLYN MARIE KELLY DPM

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

06/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2012