PATRICIA LISTON GANNON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

PATRICIA

Last Name

LISTON GANNON

Business Name

PATRICIA LISTON GANNON

Original Issue Date

04/26/1988

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024