LANCE KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154058

License Status

ACTIVE

Business

Title

First Name

LANCE

Last Name

KELLY

Business Name

LANCE KELLY MD

Original Issue Date

08/20/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023