KEVIN R MCCLELLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061120

License Status

NOT RENEWED

Business

First Name

KEVIN R

Last Name

MCCLELLAN

Suffix

Business Name

KEVIN R MCCLELLAN MD

Original Issue Date

10/27/1980

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023