KELLY C PENG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168320

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

Last Name

PENG

Business Name

KELLY C PENG DO

Original Issue Date

01/18/2024

Effective Date

01/18/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2024