LARRY ALAN FISHER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

LARRY ALAN

Last Name

FISHER

Suffix

DDS

Business Name

LARRY ALAN FISHER DDS

Original Issue Date

01/01/1998

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024