JUSTIN KELLEY SPACKEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123131

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

KELLEY

Last Name

SPACKEY

Suffix

Business Name

JUSTIN KELLEY SPACKEY MD

Original Issue Date

04/09/2009

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

NORTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/13/2023