PAUL J PONCZA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

PONCZA

Suffix

DDS

Business Name

PAUL J PONCZA DDS

Original Issue Date

09/27/2004

Effective Date

06/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2024