PATRICIA LISTON GANNON - Dentist License in Illinois | # 021001449

PATRICIA LISTON GANNON

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001449

License Status

ACTIVE

Business

N

First Name

PATRICIA

Last Name

LISTON GANNON

Business Name

PATRICIA LISTON GANNON

Original Issue Date

10/07/1989

Effective Date

09/26/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

09/26/2024