JOHN C KELLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

KELLY

Business Name

JOHN C KELLY

Original Issue Date

08/20/2014

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60640

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022