MICHAEL J LEBIECKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

LEBIECKI

Business Name

MICHAEL J LEBIECKI

Original Issue Date

03/30/1992

Effective Date

08/29/2018

Expiration Date

01/31/2022

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022