V SUSARLA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003741

License Status

NOT RENEWED

Business

Business Name

V SUSARLA MD SC

Original Issue Date

08/23/1979

Effective Date

08/23/1979

Expiration Date

01/01/1998

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

09/26/2006