KELLY M MOTSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010005

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MOTSON

Suffix

DDS

Business Name

KELLY M MOTSON DDS

Original Issue Date

06/28/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/08/2006