DIANA DZIUBA-WIELGA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

DIANA

Last Name

DZIUBA-WIELGA

Business Name

DIANA DZIUBA-WIELGA

Original Issue Date

10/09/1996

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024