PATRICK J GANNON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

PATRICK J

Last Name

GANNON

Business Name

PATRICK J GANNON

Original Issue Date

10/26/1982

Effective Date

10/20/2021

Expiration Date

09/30/2024

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025