JAMES R KELL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

INOPERATIVE

Business

First Name

JAMES

Middle

Last Name

KELL

Business Name

JAMES R KELL

Original Issue Date

01/19/2011

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/03/2022