KATIE LYNN MCCANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

LYNN

Last Name

MCCANN

Suffix

DDS

Business Name

KATIE LYNN MCCANN DDS

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

09/30/2012

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012