License Directory

Agatha N Dziedziech Dds

Active

Illinois license 019026258

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019026258
Status
Active
First issued
September 5, 2003
Expires
September 30, 2027
License holder
Agatha N Dziedziech Dds
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
09/22/2024
Ever disciplined
Yes
Discipline case
2024003994
Discipline action
Suspension
Discipline reason
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/27/2025.
Discipline dates
07/15/2024 to 02/26/2025

Other Illinois licenses under this name

  • IL
    Agatha N Dziedziech Dds
    License 31*****08
    Licensed Dentist Controlled Substance (Dental)
    Expired
    Chicago, IL
    Expired Sep 30, 2006

Contact

Scottsdale, AZ 85255