AMY E KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109125

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

KELLY

Suffix

Business Name

AMY E KELLY MD

Original Issue Date

04/30/2003

Effective Date

04/30/2003

Expiration Date

07/31/2005

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006