HANNAH LEA BONIKOWSKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

DDS

First Name

HANNAH

Middle

LEA

Last Name

BONIKOWSKE

Business Name

HANNAH LEA BONIKOWSKE DDS

Original Issue Date

09/23/2024

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024