MICHAEL JOSEPH KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086299

License Status

NOT RENEWED

Business

First Name

MICHAEL JOSEPH

Last Name

KELLY

Suffix

Business Name

MICHAEL JOSEPH KELLY MD

Original Issue Date

05/29/1993

Effective Date

05/29/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006