KELSEY LODEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156314

License Status

NOT RENEWED

Business

Title

First Name

KELSEY

Last Name

LODEN

Business Name

KELSEY LODEN MD

Original Issue Date

03/30/2021

Effective Date

03/30/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023