LUCY K POLAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035528

License Status

EXPIRED

Business

First Name

LUCY

Middle

Last Name

POLAK

Business Name

LUCY K POLAK

Original Issue Date

08/28/1996

Effective Date

08/28/1996

Expiration Date

08/31/1998

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006