THEODORE GEORGE WINIECKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

THEODORE GEORGE

Last Name

WINIECKI

Business Name

THEODORE GEORGE WINIECKI

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009