DANIEL HENRY POLK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093593

License Status

ACTIVE

Business

First Name

DANIEL

Middle

HENRY

Last Name

POLK

Suffix

Business Name

DANIEL HENRY POLK MD

Original Issue Date

07/13/1996

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023

Case Number

2010001183

Action

Suspension

Discipline Start Date

05/28/2013

Discipline End Date

12/18/2018

Discipline Reason

for failure to comply with terms and conditions of agreement with the Department.