MICHAEL T HIGGINS

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****29

ACTIVE

N

MICHAEL T

HIGGINS

MICHAEL T HIGGINS

07/28/1986

05/08/2024

09/30/2027

LOMBARD

IL

60148

DUPAGE

II III IV V

N

05/08/2024