DAVID CHRISTIAN KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153561

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

CHRISTIAN

Last Name

KELLY

Business Name

DAVID CHRISTIAN KELLY MD

Original Issue Date

07/01/2020

Effective Date

08/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

08/21/2023