KEVIN RYAN POLSLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

KEVIN

Middle

RYAN

Last Name

POLSLEY

Suffix

Business Name

KEVIN RYAN POLSLEY MD

Original Issue Date

06/06/2011

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023