LEO P KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067652

License Status

ACTIVE

Business

First Name

LEO P

Last Name

KELLY

Suffix

Business Name

LEO P KELLY MD

Original Issue Date

09/28/1983

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/31/2023