RAYMOND A J DIETER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

A J

Last Name

DIETER

Suffix

JR MD

Business Name

RAYMOND A J DIETER JR MD

Original Issue Date

09/25/2001

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020