EWA B POLTORAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037061

License Status

EXPIRED

Business

First Name

EWA

Middle

Last Name

POLTORAK

Suffix

Business Name

EWA B POLTORAK MD

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006