DIANA DZIUBA-WIELGA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

DZIUBA-WIELGA

Business Name

DIANA DZIUBA-WIELGA

Original Issue Date

10/30/1989

Effective Date

10/30/1989

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006