WILLIAM PATRICK KELLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

WILLIAM PATRICK

Last Name

KELLY

Business Name

WILLIAM PATRICK KELLY

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005