JENNIFER L KELLY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061667

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

Last Name

KELLY

Business Name

JENNIFER L KELLY

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014