SHELBY J KELLER - Dentist License in Illinois | # 020013502

SHELBY J KELLER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013502

License Status

NOT RENEWED

Business

N

First Name

SHELBY

Middle

J

Last Name

KELLER

Business Name

SHELBY J KELLER

Original Issue Date

03/22/2011

Effective Date

07/22/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018