WILLIAM EUGENE KELLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000148

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006