KATHLEEN MARY KELLY Dentist License verification

KATHLEEN MARY KELLY

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005031

License Status

INACTIVE

Business

First Name

KATHLEEN MARY

Last Name

KELLY

Business Name

KATHLEEN MARY KELLY

Original Issue Date

08/20/1982

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ALPHARETTA

State

Zip

30004

County

GEORGIA

Ever Disciplined

LastModifiedDate

06/04/2009

Case Number

2001002127

Action

Reprimand

Discipline Start Date

10/07/2003

Discipline Reason

Attempted to obtain a controlled substance without a proper prescription and falsely identified herself as another in an attempt to self-prescribe the medication.