CHAD WILLIAM OLLOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHAD

Middle

WILLIAM

Last Name

OLLOM

Business Name

CHAD WILLIAM OLLOM DDS

Original Issue Date

07/10/2012

Effective Date

08/17/2015

Expiration Date

09/30/2018

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018