DANIEL S CANNON DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001656

License Status

EXPIRED

Business

Title

DDS

First Name

DANIEL

Middle

Last Name

CANNON

Business Name

DANIEL S CANNON DDS

Original Issue Date

08/28/2007

Effective Date

08/28/2007

Expiration Date

06/30/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/19/2011