KENNETH SAMUEL POLONSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055656

License Status

NOT RENEWED

Business

First Name

KENNETH SAMUEL

Last Name

POLONSKY

Suffix

Business Name

KENNETH SAMUEL POLONSKY MD

Original Issue Date

09/15/1977

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2025