KELLY MARIE MAXWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118400

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

MAXWELL

Suffix

Business Name

KELLY MARIE MAXWELL MD

Original Issue Date

05/15/2007

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023