KATIE MARIE SENKIW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATIE

Middle

MARIE

Last Name

SENKIW

Business Name

KATIE MARIE SENKIW DMD

Original Issue Date

02/11/2021

Effective Date

12/11/2021

Expiration Date

09/30/2024

City

FORT DRUM

State

Zip

13602

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025