IRINA YURIEVNA POLANSKY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

IRINA

Middle

YURIEVNA

Last Name

POLANSKY

Business Name

IRINA YURIEVNA POLANSKY

Original Issue Date

09/28/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025