BEATA DEDEROWSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DMD

First Name

BEATA

Last Name

DEDEROWSKI

Business Name

BEATA DEDEROWSKI DMD

Original Issue Date

07/30/2009

Effective Date

07/30/2009

Expiration Date

09/30/2012

City

CREST HILL

State

Zip

60403

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012