DEAN D DIETRICH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

DEAN

Middle

Last Name

DIETRICH

Suffix

DMD

Business Name

DEAN D DIETRICH DMD

Original Issue Date

09/29/1986

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

DOLTON

State

Zip

60419

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024