DARRELL BYRON KELLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015497

License Status

NOT RENEWED

Business

First Name

DARRELL BYRON

Last Name

KELLEY

Suffix

DDS

Business Name

DARRELL BYRON KELLEY DDS

Original Issue Date

07/13/1976

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

PRESTON

State

Zip

83263

County

IDAHO

Ever Disciplined

LastModifiedDate

02/08/2016