STEVEN MARK SIERASKI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

INACTIVE

Business

First Name

STEVEN MARK

Last Name

SIERASKI

Suffix

DDS

Business Name

STEVEN MARK SIERASKI DDS

Original Issue Date

05/09/1984

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2021