TODD L KELLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035765

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

KELLY

Business Name

TODD L KELLY

Original Issue Date

05/02/1997

Effective Date

05/02/1997

Expiration Date

06/29/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006