SHELBY J KELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013502

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

Last Name

KELLER

Business Name

SHELBY J KELLER

Original Issue Date

03/22/2011

Effective Date

07/22/2015

Expiration Date

09/30/2018

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/31/2018