KELLY ANN KIRTLAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002210

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

KIRTLAND

Suffix

DDS

Business Name

KELLY ANN KIRTLAND DDS

Original Issue Date

12/05/2006

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

10/31/2018