MARK J PROSNIEWSKI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

PROSNIEWSKI

Suffix

DDS

Business Name

MARK J PROSNIEWSKI DDS

Original Issue Date

09/14/1982

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2024