GREGORY M DIETZ DMD - Dentist License in Illinois | # 137000873

GREGORY M DIETZ DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000873

License Status

ACTIVE

Business

N

First Name

GREGORY

Middle

M

Last Name

DIETZ

Suffix

DMD

Business Name

GREGORY M DIETZ DMD

Original Issue Date

08/27/2013

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/02/2024