PHILIP WILLIAM MEEHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

PHILIP

Middle

WILLIAM

Last Name

MEEHAN

Business Name

PHILIP WILLIAM MEEHAN

Original Issue Date

04/08/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60656

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024