JUDITH A KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

JUDITH A

Last Name

KELLY

Suffix

Business Name

JUDITH A KELLY MD

Original Issue Date

08/23/1988

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CARLYLE

State

Zip

62231

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023