RICHARD B DIVERDE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

RICHARD B

Last Name

DIVERDE

Suffix

DDS

Business Name

RICHARD B DIVERDE DDS

Original Issue Date

08/16/1984

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2024