JOHN THOMAS POLACEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013664

License Status

NOT RENEWED

Business

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

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022