NIEKLA SURVIA ANDIESTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000284

License Status

ACTIVE

Business

Title

DDS

First Name

NIEKLA

Middle

SURVIA

Last Name

ANDIESTA

Business Name

NIEKLA SURVIA ANDIESTA DDS

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/18/2025