Edward J Diestelkamp Jr Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019011259

Status

Expired (Not Renewed)

First issued

August 8, 1958

Expired

September 30, 2015

License holder

Edward J Diestelkamp Jr Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/31/2012

Other Illinois licenses under this name

• IL
  Edward J Diestelkamp Jr Dds

  License 31*****93

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Godrey, IL

  Expired Sep 30, 2015

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