BIANA MODILEVSKY POLAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

BIANA

Middle

MODILEVSKY

Last Name

POLAK

Business Name

BIANA MODILEVSKY POLAK DO

Original Issue Date

06/04/2024

Effective Date

06/04/2024

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026