CHAD WILLIAM OLLOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000848

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHAD

Middle

WILLIAM

Last Name

OLLOM

Business Name

CHAD WILLIAM OLLOM DDS

Original Issue Date

08/14/2012

Effective Date

08/17/2015

Expiration Date

09/30/2018

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018