KATHLEEN M KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079899

License Status

ACTIVE

Business

First Name

KATHLEEN M

Last Name

KELLY

Suffix

Business Name

KATHLEEN M KELLY MD

Original Issue Date

05/21/1990

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

Ever Disciplined

LastModifiedDate

04/14/2023