RANDALL E HIRSH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

RANDALL E

Last Name

HIRSH

Business Name

RANDALL E HIRSH

Original Issue Date

08/05/1983

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024