JEREMIAH FRANCIS KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

FRANCIS

Last Name

KELLY

Suffix

Business Name

JEREMIAH FRANCIS KELLY MD

Original Issue Date

05/04/1998

Effective Date

12/29/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011