Khadijah Lanae Kelly
ExpiredCalifornia license 108953
License
- Licensed by
- Dental Board of California
- License number
- 108953
- Status
- Expired (Delinquent)
- First issued
- July 14, 2023
- Expired
- May 31, 2026
- License holder
- Khadijah Lanae Kelly
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2043 Morton St
Apt 506
Charlotte, NC 28208-5559
Apt 506
Charlotte, NC 28208-5559
Mecklenburg County