KELLY ELIZABETH CANAVAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

Title

DDS

First Name

KELLY

Middle

ELIZABETH

Last Name

CANAVAN

Business Name

KELLY ELIZABETH CANAVAN DDS

Original Issue Date

11/14/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024