KELLY N DUDAR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033715

License Status

NOT RENEWED

Business

Title

DMD

First Name

KELLY

Middle

Last Name

DUDAR

Business Name

KELLY N DUDAR DMD

Original Issue Date

06/08/2022

Effective Date

06/08/2022

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025