PENELOPE R SPIEKERMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

PENELOPE R

Last Name

SPIEKERMAN

Suffix

DDS

Business Name

PENELOPE R SPIEKERMAN DDS

Original Issue Date

03/28/2014

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

SANDWICH

State

Zip

60548

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024