KELLEY K STALEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115572

License Status

ACTIVE

Business

First Name

KELLEY

Middle

Last Name

STALEY

Business Name

KELLEY K STALEY

Original Issue Date

03/30/2006

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023