BEVERLY N CALLAWAY DDS - Dentist License in California | # 31*****09

BEVERLY N CALLAWAY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

BEVERLY

Middle

N

Last Name

CALLAWAY

Business Name

BEVERLY N CALLAWAY DDS

Original Issue Date

11/18/2013

Effective Date

09/10/2018

Expiration Date

01/31/2022

State

CA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022