KELLY ANN KENNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137331

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ANN

Last Name

KENNELL

Business Name

KELLY ANN KENNELL MD

Original Issue Date

02/18/2015

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2023