CALLEY JUSTIN CHRISTIE DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001757

License Status

CANCELLED

Business

First Name

CALLEY

Middle

JUSTIN

Last Name

CHRISTIE

Suffix

DMD

Business Name

CALLEY JUSTIN CHRISTIE DMD

Original Issue Date

04/14/2010

Effective Date

07/01/2010

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/13/2015