ANTON N DIETZEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011314

License Status

NOT RENEWED

Business

Title

First Name

ANTON

Middle

Last Name

DIETZEN

Business Name

ANTON N DIETZEN MD

Original Issue Date

12/31/2008

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021