KELLY ANNE PLOTE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

PLOTE

Suffix

DDS

Business Name

KELLY ANNE PLOTE DDS

Original Issue Date

05/11/2010

Effective Date

05/11/2010

Expiration Date

09/30/2012

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012