PATRICK DONOVAN KELLY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

DONOVAN

Last Name

KELLY

Suffix

DDS

Business Name

PATRICK DONOVAN KELLY DDS

Original Issue Date

04/09/2015

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018