JOHN THOMAS POLACEK DDS - Dentist License in Illinois | # 019013664

JOHN THOMAS POLACEK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013664

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

JOHN

Middle

THOMAS

Last Name

POLACEK

Business Name

JOHN THOMAS POLACEK DDS

Original Issue Date

07/14/1969

Effective Date

07/18/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022