MICHAEL CHARLES KIELY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

Title

DPM

First Name

MICHAEL

Middle

CHARLES

Last Name

KIELY

Business Name

MICHAEL CHARLES KIELY DPM

Original Issue Date

08/22/2018

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025