PENELOPE R SPIEKERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

PENELOPE R

Last Name

SPIEKERMAN

Suffix

DDS

Business Name

PENELOPE R SPIEKERMAN DDS

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

09/30/2000

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005