GEORGE MICHAEL DIECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012473

License Status

NOT RENEWED

Business

First Name

GEORGE MICHAEL

Last Name

DIECK

Suffix

DDS

Business Name

GEORGE MICHAEL DIECK DDS

Original Issue Date

07/14/1964

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018