GREGORY H TIETZER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

TIETZER

Suffix

DDS

Business Name

GREGORY H TIETZER DDS

Original Issue Date

08/29/2012

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024