GEORGE MICHAEL DIECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

GEORGE MICHAEL

Last Name

DIECK

Suffix

DDS

Business Name

GEORGE MICHAEL DIECK DDS

Original Issue Date

05/17/1982

Effective Date

11/19/2015

Expiration Date

09/30/2018

City

WAUKEGAN

State

Zip

60087

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018