KELLEY HAINES GORSUCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171083

License Status

ACTIVE

Business

Title

First Name

KELLEY

Middle

HAINES

Last Name

GORSUCH

Business Name

KELLEY HAINES GORSUCH DO

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/28/2025