MARYANN VALENTIN KELLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

MARYANN VALENTIN

Last Name

KELLY

Business Name

MARYANN VALENTIN KELLY

Original Issue Date

08/31/1984

Effective Date

06/26/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022