MACIEJ P SIELSKI DDS 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

DDS

First Name

MACIEJ

Middle

Last Name

SIELSKI

Business Name

MACIEJ P SIELSKI DDS

Original Issue Date

07/19/2011

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016