TERRY POLON PRINCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135845

License Status

NOT RENEWED

Business

Title

First Name

TERRY

Middle

POLON

Last Name

PRINCE

Business Name

TERRY POLON PRINCE MD

Original Issue Date

07/08/2014

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

JENSEN BEACH

State

Zip

34957

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021