NELLIE P GANNON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

NELLIE

Middle

Last Name

GANNON DMD

Business Name

NELLIE P GANNON DMD

Original Issue Date

03/11/2022

Effective Date

02/17/2026

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/13/2026