KIMBERLY K KELLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004454

License Status

NOT RENEWED

Business

First Name

KIMBERLY K

Last Name

KELLEY

Business Name

KIMBERLY K KELLEY

Original Issue Date

06/15/1981

Effective Date

06/15/1981

Expiration Date

09/30/1988

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005