KELLY T LANE - Dentist License in Missouri | # 020005830

KELLY T LANE

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005830

License Status

INACTIVE

Business

N

First Name

KELLY T

Last Name

LANE

Business Name

KELLY T LANE

Original Issue Date

07/19/1985

Effective Date

07/19/1985

Expiration Date

09/30/2004

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005