MATEUSZ S WIETECHA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030432

License Status

ACTIVE

Business

Title

DMD

First Name

MATEUSZ

Middle

Last Name

WIETECHA

Business Name

MATEUSZ S WIETECHA DMD

Original Issue Date

08/04/2015

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2024