MAGDALENA BARBARA MINKOWICZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

MAGDALENA

Middle

BARBARA

Last Name

MINKOWICZ

Business Name

MAGDALENA BARBARA MINKOWICZ

Original Issue Date

05/24/2019

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024