ANNA MARIA KELLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ANNA MARIA

Last Name

KELLY

Business Name

ANNA MARIA KELLY

Original Issue Date

03/29/1994

Effective Date

03/29/1994

Expiration Date

07/31/2005

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006