ELLEN E TKACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

ELLEN E

Last Name

TKACH

Suffix

DDS

Business Name

ELLEN E TKACH DDS

Original Issue Date

05/04/1990

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025