JACEK W WOLNIAK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

JACEK W

Last Name

WOLNIAK

Suffix

DMD

Business Name

JACEK W WOLNIAK DMD

Original Issue Date

09/07/1988

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018