KELLY RENEE WRAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010089

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

RENEE

Last Name

WRAY

Business Name

KELLY RENEE WRAY

Original Issue Date

08/14/2001

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2009