PETER BENJAMIN MCCLELLAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DDS

First Name

PETER

Middle

BENJAMIN

Last Name

MCCLELLAN

Business Name

PETER BENJAMIN MCCLELLAN DDS

Original Issue Date

01/14/2016

Effective Date

01/14/2016

Expiration Date

09/30/2018

City

HONOLULU

State

Zip

96814

County

HAWAII

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018