SUSAN C CONRAD - Medical Doctor License in Illinois | # 125035256

SUSAN C CONRAD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035256

License Status

EXPIRED

Business

N

First Name

SUSAN

Middle

C

Last Name

CONRAD

Business Name

SUSAN C CONRAD

Original Issue Date

06/26/1996

Effective Date

06/26/1996

Expiration Date

06/24/1999

State

IL

Ever Disciplined

N

LastModifiedDate

03/19/2013