BRETT EDWARD POLAN DO Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003940

License Status

NOT RENEWED

Business

Title

First Name

BRETT

Middle

EDWARD

Last Name

POLAN

Business Name

BRETT EDWARD POLAN DO

Original Issue Date

12/11/2014

Effective Date

04/22/2016

Expiration Date

05/31/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018