KELSEY BACIDORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172511

License Status

ACTIVE

Business

Title

First Name

KELSEY

Last Name

BACIDORE

Business Name

KELSEY BACIDORE MD

Original Issue Date

10/28/2024

Effective Date

10/28/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

05/23/2025