JACQUELINE M WISINSKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DMD

First Name

JACQUELINE

Middle

Last Name

WISINSKI

Business Name

JACQUELINE M WISINSKI DMD

Original Issue Date

05/26/2020

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2024