DANIEL ROBERT KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ROBERT

Last Name

KELLEY

Business Name

DANIEL ROBERT KELLEY MD

Original Issue Date

07/25/2020

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023