CASEY SMITH KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124041

License Status

ACTIVE

Business

Title

First Name

CASEY

Middle

SMITH

Last Name

KELLEY

Business Name

CASEY SMITH KELLEY MD

Original Issue Date

07/17/2009

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2023