DEBORAH EMILY DIETRICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

Title

DDS

First Name

DEBORAH

Middle

EMILY

Last Name

DIETRICH

Business Name

DEBORAH EMILY DIETRICH DDS

Original Issue Date

10/09/2018

Effective Date

10/09/2018

Expiration Date

01/31/2022

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022