DANIEL J KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047240

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

KELLY

Suffix

Business Name

DANIEL J KELLY MD

Original Issue Date

04/09/1973

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021