NICOLE JOSEPHINE TYSZKOWSKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

Title

DMD

First Name

NICOLE

Middle

JOSEPHINE

Last Name

TYSZKOWSKI

Business Name

NICOLE JOSEPHINE TYSZKOWSKI DMD

Original Issue Date

04/18/2024

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024