DESTINY KELLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174599

License Status

ACTIVE

Business

Title

First Name

DESTINY

Last Name

KELLAM

Business Name

DESTINY KELLAM MD

Original Issue Date

04/10/2025

Effective Date

04/10/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2025