ANTHONY HIRSCHENBERGER

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****48

NOT RENEWED

N

ANTHONY

HIRSCHENBERGER

ANTHONY HIRSCHENBERGER

08/24/1983

08/24/1983

09/30/1992

CHICAGO

IL

60602

COOK

II III IV V

N

10/13/2005