JEANNETTE SUZANNE CODERE KELLY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140302

License Status

ACTIVE

Business

First Name

JEANNETTE

Middle

SUZANNE CODERE

Last Name

KELLY

Suffix

Business Name

JEANNETTE SUZANNE CODERE KELLY DO

Original Issue Date

04/08/2016

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

Ever Disciplined

LastModifiedDate

06/24/2023