PRZEMYSZAW SIMON MARCHWIAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

PRZEMYSZAW SIMON

Last Name

MARCHWIAK

Suffix

DDS

Business Name

PRZEMYSZAW SIMON MARCHWIAK DDS

Original Issue Date

03/09/1998

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2024