KELLY L DEBOER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129069

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

Last Name

DEBOER

Business Name

KELLY L DEBOER MD

Original Issue Date

10/11/2011

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/30/2023