DAVID L DIMKE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

DIMKE

Suffix

DMD

Business Name

DAVID L DIMKE DMD

Original Issue Date

06/28/2005

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024