HARRY OLIVER CHANNON DDS - Dentist License in Illinois | # 021000639

HARRY OLIVER CHANNON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000639

License Status

INACTIVE

Business

N

Title

DDS

First Name

HARRY

Middle

OLIVER

Last Name

CHANNON

Business Name

HARRY OLIVER CHANNON DDS

Original Issue Date

12/08/1969

Effective Date

09/25/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018