MATTHEW K DIETZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

MATTHEW K

Last Name

DIETZ

Suffix

DMD

Business Name

MATTHEW K DIETZ DMD

Original Issue Date

06/22/1990

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024