MAGDALENA EMILIA STANEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

MAGDALENA

Middle

EMILIA

Last Name

STANEK

Business Name

MAGDALENA EMILIA STANEK

Original Issue Date

09/20/2006

Effective Date

09/20/2006

Expiration Date

09/30/2009

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009