M KATHLEEN KELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000424

License Status

NOT RENEWED

Business

First Name

M KATHLEEN

Last Name

KELLER

Business Name

M KATHLEEN KELLER

Original Issue Date

07/29/1959

Effective Date

07/29/1959

Expiration Date

09/30/1990

City

VIRGINIA BEACH

State

Zip

23464

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005