KATHLEEN M KELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

KATHLEEN M

Last Name

KELLEY

Suffix

Business Name

KATHLEEN M KELLEY MD

Original Issue Date

11/03/1983

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023