BRETT EDWARD POLAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080561

License Status

CANCELLED

Business

Title

First Name

BRETT

Middle

EDWARD

Last Name

POLAN

Business Name

BRETT EDWARD POLAN DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/02/2022