JAN KELLY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002324

License Status

INACTIVE

Business

First Name

JAN

Last Name

KELLY

Business Name

JAN KELLY

Original Issue Date

07/03/1974

Effective Date

07/16/2012

Expiration Date

09/30/2015

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/08/2015