EWA B POLTORAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102809

License Status

NOT RENEWED

Business

First Name

EWA

Middle

Last Name

POLTORAK

Suffix

Business Name

EWA B POLTORAK MD

Original Issue Date

06/23/2000

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023