BRIAN C GNIADEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

BRIAN C

Last Name

GNIADEK

Suffix

DDS

Business Name

BRIAN C GNIADEK DDS

Original Issue Date

12/11/1991

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

LINDENHURST

State

Zip

60046

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024