KELLY DANIEL LAURENTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

DANIEL

Last Name

LAURENTI

Business Name

KELLY DANIEL LAURENTI MD

Original Issue Date

05/01/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025