IMELDA CALUBAQUIB KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032377

License Status

EXPIRED

Business

First Name

IMELDA

Middle

CALUBAQUIB

Last Name

KELLY

Suffix

Business Name

IMELDA CALUBAQUIB KELLY MD

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

10/23/1997

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006