KIRK C POLDEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

KIRK

Middle

Last Name

POLDEK

Suffix

DDS

Business Name

KIRK C POLDEK DDS

Original Issue Date

10/20/2003

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024