KENNETH L POLLACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

POLLACK

Suffix

Business Name

KENNETH L POLLACK MD

Original Issue Date

04/05/1989

Effective Date

04/05/1989

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61110

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006