DONOVAN C POLACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072078

License Status

ACTIVE

Business

First Name

DONOVAN C

Last Name

POLACK

Suffix

Business Name

DONOVAN C POLACK MD

Original Issue Date

12/06/1985

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/13/2023