BRYCE D DETER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

BRYCE D

Last Name

DETER

Suffix

DDS

Business Name

BRYCE D DETER DDS

Original Issue Date

01/02/1990

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022