JAMES WALTER DIFFLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

JAMES WALTER

Last Name

DIFFLEY

Business Name

JAMES WALTER DIFFLEY

Original Issue Date

05/16/1984

Effective Date

05/16/1984

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005