KELLY E FAHEY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001192

License Status

ACTIVE

Business

Title

DPM

First Name

KELLY

Middle

Last Name

FAHEY

Business Name

KELLY E FAHEY DPM

Original Issue Date

06/21/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

03/23/2026