ELLEN E TKACH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

ELLEN E

Last Name

TKACH

Suffix

DDS

Business Name

ELLEN E TKACH DDS

Original Issue Date

09/28/2021

Effective Date

04/08/2025

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/02/2025