HARRY OLIVER CHANNON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012417

License Status

INACTIVE

Business

Title

DDS

First Name

HARRY

Middle

OLIVER

Last Name

CHANNON

Business Name

HARRY OLIVER CHANNON DDS

Original Issue Date

11/22/1963

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

06/08/2015