MICHAEL C C KELLY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030568

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAEL

Middle

C C

Last Name

KELLY

Business Name

MICHAEL C C KELLY DMD

Original Issue Date

03/08/2016

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

YUMA

State

Zip

85365

Ever Disciplined

LastModifiedDate

10/02/2024