JOHN C KELLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005039

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

KELLY

Business Name

JOHN C KELLY

Original Issue Date

04/08/2014

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

BURNSVILLE

State

Zip

55337

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022