MOLLY MAE KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

MOLLY

Middle

MAE

Last Name

KELLY

Business Name

MOLLY MAE KELLY MD

Original Issue Date

05/30/2012

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023