THOMAS J KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032233

License Status

EXPIRED

Business

First Name

THOMAS J

Last Name

KELLY

Business Name

THOMAS J KELLY

Original Issue Date

07/19/1994

Effective Date

07/19/1994

Expiration Date

09/05/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006