BRIAN J KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018914

License Status

EXPIRED

Business

First Name

BRIAN J

Last Name

KELLY

Suffix

Business Name

BRIAN J KELLY MD

Original Issue Date

07/26/1985

Effective Date

07/26/1985

Expiration Date

07/01/1988

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006