Pennsylvania
Department of State
SCOTT RUSSELL POLAK
Medicine - Athletic Trainer
License number
RT001432B
Date granted
07/18/1995
Date expires
12/31/2004
Class
Medicine - Athletic Trainer
Status
Expired
Address
MAPLE GLEN PA 19002
palicensing.org
ID 16616721
LAST UPDATED 2026-05-06 15:43:39 UTC
LAST UPDATED 2026-05-06 15:43:39 UTC
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