DIANE M MACH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

First Name

DIANE M

Last Name

MACH

Business Name

DIANE M MACH

Original Issue Date

02/07/2012

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024