PETER JONATHAN KELLY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

JONATHAN

Last Name

KELLY

Business Name

PETER JONATHAN KELLY DO

Original Issue Date

08/17/2021

Effective Date

08/17/2021

Expiration Date

07/31/2023

City

PALATINE

State

Zip

60067

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023