KELLIE A BRUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082585

License Status

ACTIVE

Business

Title

First Name

KELLIE

Last Name

A BRUE

Business Name

KELLIE A BRUE MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/08/2023