RICHARD FREDERIC CALLAHAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

INACTIVE

Business

First Name

RICHARD FREDERIC

Last Name

CALLAHAN

Suffix

DDS

Business Name

RICHARD FREDERIC CALLAHAN DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2018

Expiration Date

12/31/2021

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2021