ENRIQUE D POLANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105015

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Middle

Last Name

POLANCO

Suffix

Business Name

ENRIQUE D POLANCO MD

Original Issue Date

06/21/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008