ELAINE KATHERINE KELLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074492

License Status

EXPIRED

Business

Title

First Name

ELAINE

Middle

KATHERINE

Last Name

KELLY

Business Name

ELAINE KATHERINE KELLY MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/06/2024