HENRY J DIETTRICH JR DDS - Dentist License in Illinois | # 019009037

HENRY J DIETTRICH JR DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009037

License Status

INACTIVE

Business

N

First Name

HENRY

Middle

J

Last Name

DIETTRICH

Suffix

JR DDS

Business Name

HENRY J DIETTRICH JR DDS

Original Issue Date

08/14/1946

Effective Date

08/14/1946

Expiration Date

09/30/2002

State

IL

Ever Disciplined

Y

LastModifiedDate

10/17/2005