MARIUSZ KAJETAN WRZOSEK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

MARIUSZ

Middle

KAJETAN

Last Name

WRZOSEK

Business Name

MARIUSZ KAJETAN WRZOSEK

Original Issue Date

08/04/2015

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024