KELLY M MOTSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MOTSON

Suffix

DDS

Business Name

KELLY M MOTSON DDS

Original Issue Date

07/07/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009