DANIEL HENRY POLK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

DANIEL

Middle

HENRY

Last Name

POLK

Suffix

Business Name

DANIEL HENRY POLK MD

Original Issue Date

04/23/2019

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023