KEVIN VINCENT KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037764

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

VINCENT

Last Name

KELLY

Business Name

KEVIN VINCENT KELLY MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2004

City

AURORA

State

Zip

60504

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006