HILLIARD I BLANK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

HILLIARD I

Last Name

BLANK

Business Name

HILLIARD I BLANK

Original Issue Date

10/15/1981

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024