ROBERT SEAN DIETER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

ROBERT

Middle

SEAN

Last Name

DIETER

Suffix

Business Name

ROBERT SEAN DIETER MD

Original Issue Date

10/29/1999

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023