KELLY JOANN JOHN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005145

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JOANN

Last Name

JOHN

Suffix

DPM

Business Name

KELLY JOANN JOHN DPM

Original Issue Date

07/28/2003

Effective Date

12/08/2022

Expiration Date

02/28/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/21/2026