MARIANNE DIACHENKO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

MARIANNE

Last Name

DIACHENKO

Suffix

DDS

Business Name

MARIANNE DIACHENKO DDS

Original Issue Date

11/24/1992

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024