KELLY S MCMULLEN - Dentist License in Illinois | # 020011555

KELLY S MCMULLEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011555

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

S

Last Name

MCMULLEN

Business Name

KELLY S MCMULLEN

Original Issue Date

07/01/2005

Effective Date

07/16/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012