MAUREEN T KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108603

License Status

NOT RENEWED

Business

First Name

MAUREEN

Middle

Last Name

KELLY

Suffix

Business Name

MAUREEN T KELLY MD

Original Issue Date

02/18/2003

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023