HENRY J DIETTRICH JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009037

License Status

INACTIVE

Business

First Name

HENRY

Middle

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

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005