ANETA MAGDALENA KACZOWKA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

ANETA

Middle

MAGDALENA

Last Name

KACZOWKA

Business Name

ANETA MAGDALENA KACZOWKA DMD

Original Issue Date

10/22/2021

Effective Date

09/23/2024

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

09/23/2024