LEON JOSEPH WITKOWSKI III Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

LEON

Middle

JOSEPH

Last Name

WITKOWSKI

Suffix

III

Business Name

LEON JOSEPH WITKOWSKI III

Original Issue Date

08/05/2005

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024