COLLEEN E KELLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022019

License Status

EXPIRED

Business

First Name

COLLEEN E

Last Name

KELLEY

Suffix

Business Name

COLLEEN E KELLEY MD

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006