KELLY ANN KIRTLAND DDS - Dentist License in Illinois | # 021002210

KELLY ANN KIRTLAND DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002210

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

ANN

Last Name

KIRTLAND

Suffix

DDS

Business Name

KELLY ANN KIRTLAND DDS

Original Issue Date

12/05/2006

Effective Date

09/02/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

10/31/2018