SUSAN L POLK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051004

License Status

INACTIVE

Business

Title

First Name

SUSAN L

Last Name

POLK

Business Name

SUSAN L POLK MD

Original Issue Date

05/22/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008