KEVIN RYAN POLSLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052635

License Status

CANCELLED

Business

First Name

KEVIN

Middle

RYAN

Last Name

POLSLEY

Suffix

Business Name

KEVIN RYAN POLSLEY MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/24/2008