LUCY K POLAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

LUCY

Middle

Last Name

POLAK

Business Name

LUCY K POLAK

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006