MICHAEL L SIWEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

MICHAEL L

Last Name

SIWEK

Suffix

DDS

Business Name

MICHAEL L SIWEK DDS

Original Issue Date

06/12/1992

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024