DEAN D DIETRICH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

DEAN

Middle

Last Name

DIETRICH

Suffix

DMD

Business Name

DEAN D DIETRICH DMD

Original Issue Date

02/05/1998

Effective Date

03/20/2006

Expiration Date

09/30/2006

City

RIVERDALE

State

Zip

60827

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2006