CORNELL MCCULLOM III DDS MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001488

License Status

ACTIVE

Business

First Name

CORNELL

Last Name

MCCULLOM III

Suffix

DDS MD

Business Name

CORNELL MCCULLOM III DDS MD

Original Issue Date

09/18/1990

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60619

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

09/18/2024