ROSA MILLER POLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151516

License Status

NOT RENEWED

Business

Title

First Name

ROSA

Middle

MILLER

Last Name

POLAN

Business Name

ROSA MILLER POLAN MD

Original Issue Date

01/09/2020

Effective Date

06/26/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023