RICHARD B DIVERDE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

RICHARD B

Last Name

DIVERDE

Suffix

DDS

Business Name

RICHARD B DIVERDE DDS

Original Issue Date

09/05/1984

Effective Date

09/05/1984

Expiration Date

09/30/1986

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005