MICHAEL JAMES KELLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014594

License Status

NOT RENEWED

Business

First Name

MICHAEL JAMES

Last Name

KELLEY

Suffix

DDS

Business Name

MICHAEL JAMES KELLEY DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

City

PHILADELPHIA

State

Zip

19145

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005