WILLIAM MICHAEL KELLY DDS - Dentist License in Illinois | # 021000780

WILLIAM MICHAEL KELLY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000780

License Status

NOT RENEWED

Business

N

First Name

WILLIAM MICHAEL

Last Name

KELLY

Suffix

DDS

Business Name

WILLIAM MICHAEL KELLY DDS

Original Issue Date

12/17/1973

Effective Date

10/09/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

05/09/2022