NICOLE MARIE KUJAWA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DDS

First Name

NICOLE

Middle

MARIE

Last Name

KUJAWA

Business Name

NICOLE MARIE KUJAWA DDS

Original Issue Date

08/08/2018

Effective Date

08/08/2018

Expiration Date

01/31/2022

City

ORLAND PARK

State

Zip

60467

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022