GERALD JOSEPH CIEBIEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

GERALD JOSEPH

Last Name

CIEBIEN

Suffix

DDS

Business Name

GERALD JOSEPH CIEBIEN DDS

Original Issue Date

01/01/1998

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018