PHILIP E FIDEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

PHILIP E

Last Name

FIDEL

Suffix

DDS

Business Name

PHILIP E FIDEL DDS

Original Issue Date

09/06/1990

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024