WAYNE D KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021678

License Status

EXPIRED

Business

First Name

WAYNE

Middle

Last Name

KELLY

Suffix

Business Name

WAYNE D KELLY MD

Original Issue Date

08/19/1987

Effective Date

08/19/1987

Expiration Date

08/12/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006