DIANE M METRICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

Title

DDS

First Name

DIANE M

Last Name

METRICK

Business Name

DIANE M METRICK DDS

Original Issue Date

09/30/2013

Effective Date

09/30/2013

Expiration Date

09/30/2015

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016