JEAN F PIEGZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JEAN F

Last Name

PIEGZA

Business Name

JEAN F PIEGZA

Original Issue Date

12/14/1982

Effective Date

12/14/1982

Expiration Date

09/30/1998

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005