WAYNE D KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

WAYNE

Middle

Last Name

KELLY

Suffix

Business Name

WAYNE D KELLY MD

Original Issue Date

10/10/1991

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023