ELLEN L POLISKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066898

License Status

NOT RENEWED

Business

First Name

ELLEN L

Last Name

POLISKY

Suffix

Business Name

ELLEN L POLISKY MD

Original Issue Date

07/15/1983

Effective Date

08/07/2020

Expiration Date

07/31/2023

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023