MARIA MAGDALENA BORZECKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

MAGDALENA

Last Name

BORZECKA

Suffix

DDS

Business Name

MARIA MAGDALENA BORZECKA DDS

Original Issue Date

10/21/2009

Effective Date

10/21/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012