ZACHARY MICHAEL HERNANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

MICHAEL

Last Name

HERNANN

Business Name

ZACHARY MICHAEL HERNANN

Original Issue Date

06/10/2013

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022