RENEE E DIETZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

RENEE

Middle

Last Name

DIETZ

Suffix

DMD

Business Name

RENEE E DIETZ DMD

Original Issue Date

10/29/1998

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024