CAROLYN MARIE KELLY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

Title

DPM

First Name

CAROLYN

Middle

MARIE

Last Name

KELLY

Business Name

CAROLYN MARIE KELLY DPM

Original Issue Date

07/27/2012

Effective Date

12/28/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025