JOHN WILLIAM POLIVKA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002751

License Status

ACTIVE

Business

Title

DDS

First Name

JOHN

Middle

WILLIAM

Last Name

POLIVKA

Business Name

JOHN WILLIAM POLIVKA DDS

Original Issue Date

07/01/2016

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

08/25/2024