LISA KAY KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102109

License Status

NOT RENEWED

Business

First Name

LISA

Middle

KAY

Last Name

KELLY

Suffix

Business Name

LISA KAY KELLY MD

Original Issue Date

03/10/2000

Effective Date

03/10/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006