KELLEY J STANLEY MD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005041

License Status

NOT RENEWED

Business

Title

First Name

KELLEY J

Last Name

STANLEY

Business Name

KELLEY J STANLEY MD

Original Issue Date

06/01/1993

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005