GAIL ANN CZARNECKI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

INACTIVE

Business

Title

DDS

First Name

GAIL

Middle

ANN

Last Name

CZARNECKI

Business Name

GAIL ANN CZARNECKI DDS

Original Issue Date

04/16/2014

Effective Date

06/29/2015

Expiration Date

09/30/2018

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2018