CLAYTON R POLOWY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038103

License Status

EXPIRED

Business

First Name

CLAYTON

Middle

Last Name

POLOWY

Business Name

CLAYTON R POLOWY

Original Issue Date

05/29/1998

Effective Date

05/29/1998

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006