JOHN THOMAS POLACEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOHN

Middle

THOMAS

Last Name

POLACEK

Business Name

JOHN THOMAS POLACEK DDS

Original Issue Date

01/01/1998

Effective Date

04/10/2019

Expiration Date

01/31/2022

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022