ENRIQUE HERNANDEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

ENRIQUE

Last Name

HERNANDEZ

Suffix

DDS

Business Name

ENRIQUE HERNANDEZ DDS

Original Issue Date

11/10/1982

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024