PATRICK DONOVAN KELLY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001831

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

DONOVAN

Last Name

KELLY

Suffix

DDS

Business Name

PATRICK DONOVAN KELLY DDS

Original Issue Date

05/30/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

01/07/2016