JOHN WILLIAM DISTEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

JOHN

Middle

WILLIAM

Last Name

DISTEL

Suffix

DMD

Business Name

JOHN WILLIAM DISTEL DMD

Original Issue Date

07/17/2000

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024