KELLI RAE JANATA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107964

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

RAE

Last Name

JANATA

Suffix

Business Name

KELLI RAE JANATA DO

Original Issue Date

10/04/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/08/2014