PHILLIP J FIJAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

PHILLIP J

Last Name

FIJAL

Business Name

PHILLIP J FIJAL

Original Issue Date

07/31/1986

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024