KAY PONTIUS KELLY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056877

License Status

ACTIVE

Business

First Name

KAY PONTIUS

Last Name

KELLY

Business Name

KAY PONTIUS KELLY

Original Issue Date

06/28/1978

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

Ever Disciplined

LastModifiedDate

06/20/2023