DEAN D DIETRICH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

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

02/05/1998

Expiration Date

09/30/1998

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005