KELLY S MCMULLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011555

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MCMULLEN

Business Name

KELLY S MCMULLEN

Original Issue Date

07/01/2005

Effective Date

07/16/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012