WILLIAM EUGENE KELLY - Physician Assistant License in Illinois | # 085000148

WILLIAM EUGENE KELLY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000148

License Status

NOT RENEWED

Business

N

First Name

WILLIAM EUGENE

Last Name

KELLY

Business Name

WILLIAM EUGENE KELLY

Original Issue Date

01/31/1979

Effective Date

01/31/1979

Expiration Date

01/31/1981

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006