BRIAN PATRICK KELLEY DDS - Dentist License in Illinois | # 019025158

BRIAN PATRICK KELLEY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025158

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005