MICHAEL DIETRICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160971

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

DIETRICH

Prefix

Business Name

MICHAEL DIETRICH MD

Original Issue Date

06/21/2022

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

Ever Disciplined

LastModifiedDate

06/23/2023