KIMBERLY ANN DYOCO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

DYOCO

Business Name

KIMBERLY ANN DYOCO

Original Issue Date

06/25/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024