KELLY NICOLE MCGREGORY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

KELLY

Middle

NICOLE

Last Name

MCGREGORY

Suffix

Business Name

KELLY NICOLE MCGREGORY DO

Original Issue Date

12/07/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53706

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023