JOHN JOSEPH KELLY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012203

License Status

INACTIVE

Business

First Name

JOHN JOSEPH

Last Name

KELLY

Suffix

DDS

Business Name

JOHN JOSEPH KELLY DDS

Original Issue Date

02/07/1963

Effective Date

02/07/1963

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005