RUSSELL S POLLINA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000486

License Status

ACTIVE

Business

First Name

RUSSELL S

Last Name

POLLINA

Suffix

DDS

Business Name

RUSSELL S POLLINA DDS

Original Issue Date

11/05/1999

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/02/2024