KATHERINE DOROTHY STANIEK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATHERINE

Middle

DOROTHY

Last Name

STANIEK

Business Name

KATHERINE DOROTHY STANIEK DMD

Original Issue Date

06/07/2016

Effective Date

06/29/2018

Expiration Date

01/31/2022

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022