ERIC P LIEDTKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

ERIC P

Last Name

LIEDTKE

Suffix

DDS

Business Name

ERIC P LIEDTKE DDS

Original Issue Date

01/09/1992

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024