ASHLEY CHRISTINA POLACHEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074275

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

CHRISTINA

Last Name

POLACHEK

Business Name

ASHLEY CHRISTINA POLACHEK MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/24/2019