THERESE LYNN POLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099955

License Status

ACTIVE

Business

First Name

THERESE

Middle

LYNN

Last Name

POLO

Suffix

Business Name

THERESE LYNN POLO MD

Original Issue Date

04/02/1999

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/24/2023