MARY ANN POLASCIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045888

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

POLASCIK

Suffix

Business Name

MARY ANN POLASCIK MD

Original Issue Date

07/31/1972

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

11/17/2014