MARY L KELLY D.O. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

D.O.

First Name

MARY L

Last Name

KELLY

Business Name

MARY L KELLY D.O.

Original Issue Date

09/06/1988

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023