CHARMAYNE ANN KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027047

License Status

EXPIRED

Business

First Name

CHARMAYNE ANN

Last Name

KELLY

Suffix

Business Name

CHARMAYNE ANN KELLY MD

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006