HARRY OLIVER CHANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DDS

First Name

HARRY

Middle

OLIVER

Last Name

CHANNON

Business Name

HARRY OLIVER CHANNON DDS

Original Issue Date

06/16/1976

Effective Date

02/11/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016