KENNETH MICHAEL KELLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050919

License Status

EXPIRED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

KELLEY

Suffix

Business Name

KENNETH MICHAEL KELLEY MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009