CHARLES RAYMOND KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

KELLY

Suffix

Business Name

CHARLES RAYMOND KELLY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011