MICHELLE LYNN CANNON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

LYNN

Last Name

CANNON

Business Name

MICHELLE LYNN CANNON

Original Issue Date

10/13/2009

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

RICHTON PARK

State

Zip

60471

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/29/2024