ALBERT A DIEPSTRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015115

License Status

NOT RENEWED

Business

First Name

ALBERT A

Last Name

DIEPSTRA

Suffix

DDS

Business Name

ALBERT A DIEPSTRA DDS

Original Issue Date

07/10/1975

Effective Date

08/22/2018

Expiration Date

01/31/2022

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022

Case Number

1982000057

Action

Probation

Discipline Start Date

04/05/1983

Discipline End Date

10/05/1983