JOHN JOSEPH KELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

JOSEPH

Last Name

KELLY

Business Name

JOHN JOSEPH KELLY MD

Original Issue Date

04/01/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53226

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023