ANISA FATIMA KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149631

License Status

ACTIVE

Business

Title

First Name

ANISA

Middle

FATIMA

Last Name

KELLEY

Business Name

ANISA FATIMA KELLEY MD

Original Issue Date

06/11/2019

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023