LEO P KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

LEO P

Last Name

KELLY

Suffix

Business Name

LEO P KELLY MD

Original Issue Date

03/05/1984

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023