PAMELA MARIE POREMBSKI Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

CANCELLED

Business

First Name

PAMELA MARIE

Last Name

POREMBSKI

Business Name

PAMELA MARIE POREMBSKI

Original Issue Date

09/03/1982

Effective Date

09/03/1982

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005