TERENCE PATRICK KELLY Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

CANCELLED

Business

First Name

TERENCE PATRICK

Last Name

KELLY

Business Name

TERENCE PATRICK KELLY

Original Issue Date

11/04/1983

Effective Date

11/04/1983

Expiration Date

09/30/2006

City

HURON

State

Zip

44839

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005