KELLY M MCLEOD DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026376

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

MCLEOD

Suffix

DDS

Business Name

KELLY M MCLEOD DDS

Original Issue Date

05/24/2004

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

BROOKLYN

State

Zip

11201

County

NEW YORK

Ever Disciplined

LastModifiedDate

06/06/2012