License holder summary

Thomas Michael Polovitz is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Thomas Michael Polovitz is 806 Birch Lane, East Gull Lake, MN 56401. This doctor license is current. The license was granted 09/08/2001 and expired on 12/31/2014.

Department of Safety and Professional Services

Board of Medical Practice

Thomas Michael Polovitz
Medical - Physician And Surgeon
License number
24718
Date granted
09/08/2001
Date expires
12/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
806 Birch Lane, East Gull Lake, MN 56401
doctorsminnesota.org
ID 22280019
LAST UPDATED 2024-02-16 21:03:15 UTC

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