MARTHA ANNE KELLEY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039368

License Status

EXPIRED

Business

First Name

MARTHA

Middle

ANNE

Last Name

KELLEY

Suffix

Business Name

MARTHA ANNE KELLEY DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007