MARTIN JOSEPH KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

JOSEPH

Last Name

KELLY

Suffix

Business Name

MARTIN JOSEPH KELLY MD

Original Issue Date

10/19/1992

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023