SAMANTHA W ZOLTEK-SKIK 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

SAMANTHA

Middle

Last Name

ZOLTEK-SKIK

Prefix

Business Name

SAMANTHA W ZOLTEK-SKIK DMD

Original Issue Date

06/22/2021

Effective Date

09/14/2024

Expiration Date

09/30/2027

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2024