RICHARD P KELLY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035665

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

KELLY

Suffix

Business Name

RICHARD P KELLY DO

Original Issue Date

04/21/1997

Effective Date

04/21/1997

Expiration Date

06/30/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006