KELLY THOMAS GILLESPIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006897

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

THOMAS GILLESPIE

Business Name

KELLY THOMAS GILLESPIE

Original Issue Date

05/26/1989

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/04/2009