AGNIESZKA JOLANTA KNOBLOCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

AGNIESZKA

Middle

JOLANTA

Last Name

KNOBLOCH

Suffix

DMD

Business Name

AGNIESZKA JOLANTA KNOBLOCH DMD

Original Issue Date

08/14/2003

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/02/2024