PETER BENJAMIN MCCLELLAN DDS - Dentist License in Hawaii | # 31*****23

PETER BENJAMIN MCCLELLAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

PETER

Middle

BENJAMIN

Last Name

MCCLELLAN

Business Name

PETER BENJAMIN MCCLELLAN DDS

Original Issue Date

01/14/2016

Effective Date

01/14/2016

Expiration Date

09/30/2018

State

HI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018