TIMOTHY KELLEY - Physician Assistant License in Illinois | # 085001277

TIMOTHY KELLEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001277

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Last Name

KELLEY

Business Name

TIMOTHY KELLEY

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008