SUSAN A BARDWELL - Medical Doctor License in Illinois | # 036095500

SUSAN A BARDWELL

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095500

License Status

NOT RENEWED

Business

N

First Name

SUSAN A

Last Name

BARDWELL

Business Name

SUSAN A BARDWELL

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006