JESSICA JOAN STACKO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

Title

DMD

First Name

JESSICA

Middle

JOAN

Last Name

STACKO

Business Name

JESSICA JOAN STACKO DMD

Original Issue Date

07/15/2023

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/06/2024