JODY L KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036430

License Status

EXPIRED

Business

Title

First Name

JODY

Middle

Last Name

KELLY

Business Name

JODY L KELLY MD

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006