ZAKIE P KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030547

License Status

EXPIRED

Business

First Name

ZAKIE

Middle

Last Name

KELLY

Business Name

ZAKIE P KELLY

Original Issue Date

06/30/1993

Effective Date

06/30/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006