CHARLES E KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036741

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

KELLY

Suffix

Business Name

CHARLES E KELLY MD

Original Issue Date

09/02/1960

Effective Date

09/02/1960

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006