KRISTEN ANN KELLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077448

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Middle

ANN

Last Name

KELLY

Business Name

KRISTEN ANN KELLY MD

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/27/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/20/2021