MICHAEL R KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030681

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

KELLY

Business Name

MICHAEL R KELLY

Original Issue Date

07/24/1993

Effective Date

07/24/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006