CAROLYN MARIE KELLY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005524

License Status

ACTIVE

Business

Title

DPM

First Name

CAROLYN

Middle

MARIE

Last Name

KELLY

Business Name

CAROLYN MARIE KELLY DPM

Original Issue Date

06/25/2012

Effective Date

12/28/2024

Expiration Date

01/31/2027

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

02/26/2025