KELLY M MCLEOD DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001422

License Status

EXPIRED

Business

First Name

KELLY

Middle

Last Name

MCLEOD

Suffix

DDS

Business Name

KELLY M MCLEOD DDS

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005