JOHN T KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

KELLY

Suffix

Business Name

JOHN T KELLY MD

Original Issue Date

10/20/1988

Effective Date

10/20/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020