MATTHEW JOSEPH KELLY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

Title

DDS

First Name

MATTHEW

Middle

JOSEPH

Last Name

KELLY

Business Name

MATTHEW JOSEPH KELLY DDS

Original Issue Date

09/25/2014

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024