KELLY P PAULSEN DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005112

License Status

NOT RENEWED

Business

First Name

KELLY P

Last Name

PAULSEN

Suffix

Business Name

KELLY P PAULSEN DC

Original Issue Date

01/30/1984

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1995000200

Action

Probation

Discipline Start Date

05/27/1997

Discipline End Date

04/18/2001

Discipline Reason

Outstanding tax liability, 1989-1995.