PATRICK J BANNON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

PATRICK J

Last Name

BANNON

Suffix

DDS

Business Name

PATRICK J BANNON DDS

Original Issue Date

01/01/1998

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016