ALEXANDRA NORMA MCCALLUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDRA

Middle

NORMA

Last Name

MCCALLUM

Business Name

ALEXANDRA NORMA MCCALLUM DDS

Original Issue Date

07/15/2020

Effective Date

12/08/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025