MARTHA ANNE KELLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114941

License Status

ACTIVE

Business

First Name

MARTHA

Middle

ANNE

Last Name

KELLEY

Suffix

Business Name

MARTHA ANNE KELLEY DO

Original Issue Date

12/02/2005

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/07/2023