SCOTT D BEALLIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

SCOTT D

Last Name

BEALLIS

Business Name

SCOTT D BEALLIS

Original Issue Date

10/08/1986

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

CREST HILL

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024