CHARLES RAYMOND KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029822

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

KELLY

Suffix

Business Name

CHARLES RAYMOND KELLY MD

Original Issue Date

11/23/1949

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

11/17/2014