KELLY R MONTGOMERY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023447

License Status

NOT RENEWED

Business

First Name

KELLY R

Last Name

MONTGOMERY

Suffix

DDS

Business Name

KELLY R MONTGOMERY DDS

Original Issue Date

11/10/1993

Effective Date

11/10/1993

Expiration Date

09/30/1996

City

CHARLOTTE

State

Zip

28207

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/12/2005