CALLEY JUSTIN CHRISTIE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

CALLEY

Middle

JUSTIN

Last Name

CHRISTIE

Suffix

DMD

Business Name

CALLEY JUSTIN CHRISTIE DMD

Original Issue Date

09/13/2013

Effective Date

09/13/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016