MARK JOHN KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027914

License Status

EXPIRED

Business

First Name

MARK JOHN

Last Name

KELLY

Business Name

MARK JOHN KELLY

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006