JADWIGA SAMULAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022535

License Status

ACTIVE

Business

First Name

JADWIGA

Last Name

SAMULAK

Suffix

DDS

Business Name

JADWIGA SAMULAK DDS

Original Issue Date

08/01/1991

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2024

Case Number

1997002170

Action

Fine

Discipline Start Date

12/23/1997

Discipline Reason

Failing to complete continuing education requirements for the 1996 renewal period.