CRYSTAL BETT KELLNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

BETT

Last Name

KELLNER

Business Name

CRYSTAL BETT KELLNER

Original Issue Date

07/21/2009

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024