KELLI ANN CLEARY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

CANCELLED

Business

First Name

KELLI

Middle

ANN

Last Name

CLEARY

Suffix

Business Name

KELLI ANN CLEARY MD

Original Issue Date

07/23/2007

Effective Date

07/23/2007

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008