LIDIA B ICKES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

LIDIA

Middle

Last Name

ICKES

Suffix

DDS

Business Name

LIDIA B ICKES DDS

Original Issue Date

03/07/2011

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024