KELLY SUN SCHULTE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077205

License Status

EXPIRED

Business

Title

First Name

KELLY

Middle

SUN

Last Name

SCHULTE

Business Name

KELLY SUN SCHULTE DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022