ARTHUR ABRAHAM POLUSSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

ARTHUR

Middle

ABRAHAM

Last Name

POLUSSA

Suffix

Business Name

ARTHUR ABRAHAM POLUSSA MD

Original Issue Date

07/13/1983

Effective Date

07/13/1983

Expiration Date

07/31/1996

City

HOOPESTON

State

Zip

60942

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1984000667

Action

Probation

Discipline Start Date

06/02/1988

Discipline End Date

06/01/1990