JOHN R KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

KELLY

Suffix

Business Name

JOHN R KELLY MD

Original Issue Date

12/27/1985

Effective Date

12/27/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006