JOHN RICHARD KELLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011211

License Status

NOT RENEWED

Business

First Name

JOHN RICHARD

Last Name

KELLY

Business Name

JOHN RICHARD KELLY

Original Issue Date

11/08/1957

Effective Date

11/08/1957

Expiration Date

04/01/1982

City

PHOENIX

State

Zip

85015

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/12/2005