MARTIN JOHN PIEKOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARTIN

Middle

JOHN

Last Name

PIEKOS

Business Name

MARTIN JOHN PIEKOS DDS

Original Issue Date

09/28/1981

Effective Date

10/23/2015

Expiration Date

09/30/2018

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018