AGNIESZKA BARBARA CHMIELOWSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DMD

First Name

AGNIESZKA

Middle

BARBARA

Last Name

CHMIELOWSKI

Business Name

AGNIESZKA BARBARA CHMIELOWSKI DMD

Original Issue Date

11/08/2023

Effective Date

11/08/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2025