MARK JAMES KELLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097446

License Status

ACTIVE

Business

First Name

MARK

Middle

JAMES

Last Name

KELLEN

Suffix

Business Name

MARK JAMES KELLEN MD

Original Issue Date

03/16/1998

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2023