ROGER EDWIN SIENKIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

ROGER EDWIN

Last Name

SIENKIEWICZ

Suffix

DDS

Business Name

ROGER EDWIN SIENKIEWICZ DDS

Original Issue Date

01/01/1998

Effective Date

07/18/2018

Expiration Date

01/31/2022

City

JUSTICE

State

Zip

60458

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022