COLIN THOMAS HIRSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

THOMAS

Last Name

HIRSCH

Business Name

COLIN THOMAS HIRSCH

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

09/30/2018

City

GENOA

State

Zip

60135

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018