MARY AILEEN T KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016054

License Status

EXPIRED

Business

First Name

MARY AILEEN

Middle

Last Name

KELLY

Business Name

MARY AILEEN T KELLY

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

07/01/1985

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006