TOM D KELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001054

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

KELLER

Business Name

TOM D KELLER

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018