MARY L KELLY D.O. Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021332

License Status

EXPIRED

Business

Title

D.O.

First Name

MARY L

Last Name

KELLY

Business Name

MARY L KELLY D.O.

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006