SUSAN L KELLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

KELLEY

Business Name

SUSAN L KELLEY

Original Issue Date

03/27/1985

Effective Date

03/27/1985

Expiration Date

09/30/1990

City

DUNDEE

State

Zip

60118

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005