STEPHEN PATRICK KELLEHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059628

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

PATRICK

Last Name

KELLEHER

Business Name

STEPHEN PATRICK KELLEHER MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012