SALLY ANN KELLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

SALLY

Middle

ANN

Last Name

KELLEY

Business Name

SALLY ANN KELLEY MD

Original Issue Date

07/18/2011

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017