DAVID MICHAEL KELLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054284

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

KELLEY

Business Name

DAVID MICHAEL KELLEY MD

Original Issue Date

06/30/2008

Effective Date

06/30/2008

Expiration Date

06/29/2011

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011