NICHOLAS FORD CALLAHAN MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002880

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

FORD

Last Name

CALLAHAN

Business Name

NICHOLAS FORD CALLAHAN MD

Original Issue Date

08/06/2018

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

07/18/2024