SUSAN G BLITZ MD - Medical Doctor License in Illinois | # 036060379

SUSAN G BLITZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060379

License Status

NOT RENEWED

Business

N

First Name

SUSAN G

Last Name

BLITZ

Suffix

MD

Business Name

SUSAN G BLITZ MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006