LAUREN MARIE BIERNACKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MARIE

Last Name

BIERNACKI

Business Name

LAUREN MARIE BIERNACKI

Original Issue Date

05/28/2020

Effective Date

10/26/2021

Expiration Date

09/30/2024

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025