PHILLIP J HERLIHEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

PHILLIP J

Last Name

HERLIHEY

Suffix

DDS

Business Name

PHILLIP J HERLIHEY DDS

Original Issue Date

07/27/1993

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024