PATRICIA KELLEHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

KELLEHER

Suffix

Business Name

PATRICIA KELLEHER MD

Original Issue Date

07/31/1996

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

01/14/2021