MARIUS PIOTR ROG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

MARIUS

Middle

PIOTR

Last Name

ROG

Suffix

DDS

Business Name

MARIUS PIOTR ROG DDS

Original Issue Date

09/21/1998

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024