MARISSA POLANCICH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081576

License Status

ACTIVE

Business

First Name

MARISSA

Last Name

POLANCICH

Business Name

MARISSA POLANCICH

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Plastic Surgery - Integrated

Ever Disciplined

LastModifiedDate

05/03/2023