ANNA M SURMACZYNSKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

ANNA M

Last Name

SURMACZYNSKI

Business Name

ANNA M SURMACZYNSKI

Original Issue Date

10/06/1988

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024