AGNES DZIARSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020340

License Status

NOT RENEWED

Business

First Name

AGNES

Last Name

DZIARSKI

Business Name

AGNES DZIARSKI

Original Issue Date

09/17/1986

Effective Date

06/21/2012

Expiration Date

09/30/2015

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

2003007831

Action

Probation

Discipline Start Date

08/03/2004

Discipline End Date

09/28/2007

Discipline Reason

Dispensed controlled substances for other than therapeutic purposes.