DIANE M MACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

MACH

Business Name

DIANE M MACH

Original Issue Date

08/14/1986

Effective Date

01/04/2007

Expiration Date

09/30/2009

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009