KELLY WENTLAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086714

License Status

ACTIVE

Business

Title

First Name

KELLY

Last Name

WENTLAND

Business Name

KELLY WENTLAND MD

Original Issue Date

06/22/2025

Effective Date

06/22/2025

Expiration Date

06/21/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/06/2025