SUSAN TERRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056802

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

TERRIS

Suffix

Business Name

SUSAN TERRIS MD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

07/31/1987

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006