KELLY R BROWN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

Last Name

BROWN

Business Name

KELLY R BROWN MD

Original Issue Date

05/13/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023