BEVERLY N CALLAWAY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DDS

First Name

BEVERLY

Middle

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

City

DESERT HOT SPRINGS

State

Zip

92240

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022