PATRYCJA M WIERZBICKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DMD

First Name

PATRYCJA

Middle

Last Name

WIERZBICKI

Prefix

Business Name

PATRYCJA M WIERZBICKI DMD

Original Issue Date

08/18/2017

Effective Date

08/18/2017

Expiration Date

09/30/2018

City

HOFFMAN ESTATES

State

Zip

60169

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018