PATRICIA M KOWALIK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

Last Name

KOWALIK

Business Name

PATRICIA M KOWALIK

Original Issue Date

11/02/1988

Effective Date

06/21/2024

Expiration Date

09/30/2027

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2024