MARK J NIEKRASZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

MARK J

Last Name

NIEKRASZ

Business Name

MARK J NIEKRASZ

Original Issue Date

01/01/1998

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024