DR JEROME M PIEKOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

DR JEROME M

Last Name

PIEKOS

Business Name

DR JEROME M PIEKOS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005