DAVID A CIENIAWA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

DAVID A

Last Name

CIENIAWA

Business Name

DAVID A CIENIAWA

Original Issue Date

08/18/1987

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024