NELLIE P GANNON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031842

License Status

ACTIVE

Business

First Name

NELLIE

Middle

Last Name

GANNON DMD

Business Name

NELLIE P GANNON DMD

Original Issue Date

08/16/2018

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2025