JADWIGA SAMULAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

JADWIGA

Last Name

SAMULAK

Suffix

DDS

Business Name

JADWIGA SAMULAK DDS

Original Issue Date

10/21/1991

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024