KELLY NICOLE BRAY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

BRAY

Business Name

KELLY NICOLE BRAY DO

Original Issue Date

05/02/2011

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023