SUSAN ABRAHAM MD - Medical Doctor License in Illinois | # 125055021

SUSAN ABRAHAM MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055021

License Status

CANCELLED

Business

N

First Name

SUSAN

Last Name

ABRAHAM

Suffix

MD

Business Name

SUSAN ABRAHAM MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/08/2009