JOHN JOSEPH KELLY DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

CANCELLED

Business

First Name

JOHN JOSEPH

Last Name

KELLY

Suffix

DDS

Business Name

JOHN JOSEPH KELLY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005