MARGUERITE H KELLY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

MARGUERITE H

Last Name

KELLY

Business Name

MARGUERITE H KELLY

Original Issue Date

10/08/1986

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/13/2024