AILEEN KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

AILEEN

Last Name

KELLY

Suffix

Business Name

AILEEN KELLY MD

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

07/31/1987

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006