KIMBERLY I PONCZEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007384

License Status

NOT RENEWED

Business

First Name

KIMBERLY I

Last Name

PONCZEK

Business Name

KIMBERLY I PONCZEK

Original Issue Date

06/14/1991

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022