LISA KAY KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

LISA

Middle

KAY

Last Name

KELLY

Suffix

Business Name

LISA KAY KELLY MD

Original Issue Date

07/28/2000

Effective Date

07/28/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006