ANNA PRZYBYCIAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

PRZYBYCIAN

Suffix

DMD

Business Name

ANNA PRZYBYCIAN DMD

Original Issue Date

12/11/2000

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/09/2022