DEREK JOSEPH KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

DEREK JOSEPH

Last Name

KELLY

Suffix

Business Name

DEREK JOSEPH KELLY MD

Original Issue Date

11/12/1981

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023