SHIRLEY E KELLIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

SHIRLEY E

Last Name

KELLIE

Suffix

Business Name

SHIRLEY E KELLIE MD

Original Issue Date

12/09/2009

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023