RONALD R KELLOUGH II DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

RONALD R

Last Name

KELLOUGH II

Suffix

DMD

Business Name

RONALD R KELLOUGH II DMD

Original Issue Date

06/09/1993

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GERMANTOWN

State

Zip

62245

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024