JERALD A SPOLAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

JERALD A

Last Name

SPOLAR

Suffix

DDS

Business Name

JERALD A SPOLAR DDS

Original Issue Date

01/01/1998

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025