MATTHEW K DIETZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021882

License Status

ACTIVE

Business

First Name

MATTHEW K

Last Name

DIETZ

Suffix

DMD

Business Name

MATTHEW K DIETZ DMD

Original Issue Date

12/16/1989

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

08/14/2024