KATHERINE THERESA POLICHT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

THERESA

Last Name

POLICHT

Business Name

KATHERINE THERESA POLICHT

Original Issue Date

03/24/2020

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023