ROBERT J POLACEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

POLACEK

Suffix

Business Name

ROBERT J POLACEK MD

Original Issue Date

04/28/1987

Effective Date

04/28/1987

Expiration Date

07/31/1993

City

FLORENCE

State

Zip

41042

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006