DIJANA POLJAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148047

License Status

NOT RENEWED

Business

Title

First Name

DIJANA

Last Name

POLJAK

Business Name

DIJANA POLJAK MD

Original Issue Date

01/04/2019

Effective Date

01/04/2019

Expiration Date

09/30/2020

City

PORT JEFFERSON STATION

State

Zip

11776

Ever Disciplined

LastModifiedDate

01/14/2021