GEORGINA GLORIVEL POLANCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000969

License Status

EXPIRED

Business

Title

First Name

GEORGINA

Middle

GLORIVEL

Last Name

POLANCO

Business Name

GEORGINA GLORIVEL POLANCO MD

Original Issue Date

09/18/2013

Effective Date

09/18/2013

Expiration Date

10/17/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/27/2013