KENNETH S POLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

KENNETH S

Last Name

POLIN

Suffix

Business Name

KENNETH S POLIN MD

Original Issue Date

01/17/1983

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023