ROSA MILLER POLAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070230

License Status

CANCELLED

Business

Title

First Name

ROSA

Middle

MILLER

Last Name

POLAN

Business Name

ROSA MILLER POLAN MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/20/2017