MALGORZATA L WIECZOREK-TLALKA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

DDS

First Name

MALGORZATA

Middle

Last Name

WIECZOREK-TLALKA

Business Name

MALGORZATA L WIECZOREK-TLALKA DDS

Original Issue Date

04/20/2006

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024