ANETA MAGDALENA KACZOWKA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DMD

First Name

ANETA

Middle

MAGDALENA

Last Name

KACZOWKA

Business Name

ANETA MAGDALENA KACZOWKA DMD

Original Issue Date

10/15/2018

Effective Date

10/15/2018

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60195

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022