JOHN JAY KELLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016176

License Status

NOT RENEWED

Business

First Name

JOHN JAY

Last Name

KELLER

Suffix

DDS

Business Name

JOHN JAY KELLER DDS

Original Issue Date

11/03/1977

Effective Date

11/03/1977

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005