LUCY K POLAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096778

License Status

NOT RENEWED

Business

First Name

LUCY

Middle

Last Name

POLAK

Business Name

LUCY K POLAK

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006