Charles Bruce Polk Dds
InactiveIllinois license 019012051
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019012051
- Status
- Inactive
- First issued
- July 3, 1962
- Expired
- September 30, 1992
- License holder
- Charles Bruce Polk Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/03/1962
Contact
Phoenix, AZ 85018
Arizona County