MICHAEL DAVID POLKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108682

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

POLKA

Suffix

Business Name

MICHAEL DAVID POLKA MD

Original Issue Date

02/26/2003

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

APPLETON

State

Zip

54913

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023