THOMAS JOSEPH KELLY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

THOMAS JOSEPH

Last Name

KELLY JR

Suffix

Business Name

THOMAS JOSEPH KELLY JR MD

Original Issue Date

05/05/1983

Effective Date

05/05/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006