BRIAN PATRICK KELLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025158

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

PATRICK

Last Name

KELLEY

Suffix

DDS

Business Name

BRIAN PATRICK KELLEY DDS

Original Issue Date

11/05/1999

Effective Date

11/05/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005