EILEEN ANN KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

EILEEN

Middle

ANN

Last Name

KELLY

Suffix

Business Name

EILEEN ANN KELLY MD

Original Issue Date

04/23/2003

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023