JAMES M KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JAMES M

Last Name

KELLY

Suffix

Business Name

JAMES M KELLY MD

Original Issue Date

04/04/1984

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023