BRIAN E KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025162

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

KELLY

Business Name

BRIAN E KELLY

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006