KATHY JOHNSON NEELY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

KATHY JOHNSON

Last Name

NEELY

Suffix

Business Name

KATHY JOHNSON NEELY MD

Original Issue Date

06/30/1986

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023