DONALD LYNN KELLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025922

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

LYNN

Last Name

KELLEY

Suffix

DDS

Business Name

DONALD LYNN KELLEY DDS

Original Issue Date

07/26/2002

Effective Date

07/26/2002

Expiration Date

09/30/2004

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005