JONATHAN RICHARD KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059014

License Status

ACTIVE

Business

First Name

JONATHAN RICHARD

Last Name

KELLY

Suffix

Business Name

JONATHAN RICHARD KELLY MD

Original Issue Date

07/20/1979

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023