JOHN STEPHEN KELLY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

JOHN STEPHEN

Last Name

KELLY JR

Suffix

Business Name

JOHN STEPHEN KELLY JR MD

Original Issue Date

11/10/1993

Effective Date

11/10/1993

Expiration Date

07/31/1996

City

CHATSWORTH

State

Zip

60921

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006