TAMAR SARAH POLONSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000237

License Status

CANCELLED

Business

First Name

TAMAR

Middle

SARAH

Last Name

POLONSKY

Suffix

Business Name

TAMAR SARAH POLONSKY MD

Original Issue Date

04/25/2005

Effective Date

04/25/2005

Expiration Date

10/24/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006