BIANA MODILEVSKY POLAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074947

License Status

EXPIRED

Business

Title

First Name

BIANA

Middle

MODILEVSKY

Last Name

POLAK

Business Name

BIANA MODILEVSKY POLAK DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022