GREGORY H TIETZER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019206

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

TIETZER

Suffix

DDS

Business Name

GREGORY H TIETZER DDS

Original Issue Date

08/16/1984

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2024