JO LYNN POLK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

Middle

LYNN

Last Name

POLK

Business Name

JO LYNN POLK MD

Original Issue Date

05/15/1985

Effective Date

06/11/2012

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014