AMY SUSANN ANSTEAD MD - Medical Doctor License in Illinois | # 125048458

AMY SUSANN ANSTEAD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048458

License Status

EXPIRED

Business

N

First Name

AMY

Middle

SUSANN

Last Name

ANSTEAD

Suffix

MD

Business Name

AMY SUSANN ANSTEAD MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2009

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

07/15/2009