DANIEL M HOMUTH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

DANIEL M

Last Name

HOMUTH

Business Name

DANIEL M HOMUTH

Original Issue Date

08/10/1987

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

ITASCA

State

Zip

60143

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2024