JOHN ADAM DIETRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ADAM

Last Name

DIETRICK

Suffix

Business Name

JOHN ADAM DIETRICK MD

Original Issue Date

12/10/1985

Effective Date

12/10/1985

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017