MARINA KARNAUKH MADWED Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

MARINA

Middle

KARNAUKH

Last Name

MADWED

Business Name

MARINA KARNAUKH MADWED

Original Issue Date

08/04/2015

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024