AGNIESZKA BARBARA KUMAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

First Name

AGNIESZKA

Middle

BARBARA

Last Name

KUMAR

Business Name

AGNIESZKA BARBARA KUMAR

Original Issue Date

02/07/2018

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024