STACEY L MCKELVEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

STACEY

Middle

Last Name

MCKELVEY

Business Name

STACEY L MCKELVEY MD

Original Issue Date

10/14/2014

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023