SARA BIALOGLOVSKY SUSMANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041666

License Status

NOT RENEWED

Business

First Name

SARA

Middle

BIALOGLOVSKY

Last Name

SUSMANO

Suffix

Business Name

SARA BIALOGLOVSKY SUSMANO MD

Original Issue Date

04/10/1968

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014