NICOLE E JEZIORSKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DMD

First Name

NICOLE

Middle

Last Name

JEZIORSKI

Business Name

NICOLE E JEZIORSKI DMD

Original Issue Date

08/23/2019

Effective Date

07/24/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024