MARTA ELZBIETA OSTROMECKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARTA

Middle

ELZBIETA

Last Name

OSTROMECKI

Business Name

MARTA ELZBIETA OSTROMECKI DDS

Original Issue Date

06/21/2017

Effective Date

10/22/2018

Expiration Date

01/31/2022

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022