RICHARD FREDERIC CALLAHAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

CANCELLED

Business

First Name

RICHARD FREDERIC

Last Name

CALLAHAN

Suffix

DDS

Business Name

RICHARD FREDERIC CALLAHAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005