TARA ANNE CULLIGAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

First Name

TARA

Middle

ANNE

Last Name

CULLIGAN

Suffix

DDS

Business Name

TARA ANNE CULLIGAN DDS

Original Issue Date

05/16/2007

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024