ELIZABETH POLAK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DMD

First Name

ELIZABETH

Last Name

POLAK

Business Name

ELIZABETH POLAK DMD

Original Issue Date

09/04/2019

Effective Date

12/14/2021

Expiration Date

09/30/2024

City

EDGEWATER

State

Zip

21037

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025