GORDON M CALLISON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

GORDON

Middle

Last Name

CALLISON

Suffix

DDS

Business Name

GORDON M CALLISON DDS

Original Issue Date

09/23/1983

Effective Date

11/20/2015

Expiration Date

09/30/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018