KEVIN VINCENT KELLY 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

KEVIN

Middle

VINCENT

Last Name

KELLY

Business Name

KEVIN VINCENT KELLY MD

Original Issue Date

11/10/2011

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023