KELLY J KELLEHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017428

License Status

EXPIRED

Business

First Name

KELLY J

Last Name

KELLEHER

Suffix

Business Name

KELLY J KELLEHER MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006