KELLEY LORRAINE MINISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094323

License Status

NOT RENEWED

Business

First Name

KELLEY LORRAINE

Last Name

MINISH

Suffix

Business Name

KELLEY LORRAINE MINISH MD

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

07/31/2005

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006