SCOTT DOUGLAS KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

DOUGLAS

Last Name

KELLY

Business Name

SCOTT DOUGLAS KELLY MD

Original Issue Date

03/28/2012

Effective Date

03/28/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/17/2014