ROMAN M DZIUBYK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

First Name

ROMAN M

Last Name

DZIUBYK

Suffix

DDS

Business Name

ROMAN M DZIUBYK DDS

Original Issue Date

08/23/1991

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024