SHAYNE ELIZABETH POLLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078356

License Status

CANCELLED

Business

Title

First Name

SHAYNE

Middle

ELIZABETH

Last Name

POLLEY

Business Name

SHAYNE ELIZABETH POLLEY MD

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

06/20/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/30/2021