KELLEY L MCCULLOUGH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007699

License Status

ACTIVE

Business

First Name

KELLEY L

Last Name

MCCULLOUGH

Business Name

KELLEY L MCCULLOUGH

Original Issue Date

07/13/1992

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

09/20/2024