MONIKA MARIA WACLAW DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

Title

DMD

First Name

MONIKA

Middle

MARIA

Last Name

WACLAW

Business Name

MONIKA MARIA WACLAW DMD

Original Issue Date

05/17/2017

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024