JENNA NICOLE POLACEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DDS

First Name

JENNA

Middle

NICOLE

Last Name

POLACEK

Business Name

JENNA NICOLE POLACEK DDS

Original Issue Date

08/11/2016

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024