BROOKE IVAN POLK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146176

License Status

ACTIVE

Business

Title

First Name

BROOKE

Middle

IVAN

Last Name

POLK

Business Name

BROOKE IVAN POLK MD

Original Issue Date

05/16/2018

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/28/2023