MATEUSZ S WIETECHA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DMD

First Name

MATEUSZ

Middle

Last Name

WIETECHA

Business Name

MATEUSZ S WIETECHA DMD

Original Issue Date

08/21/2015

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024