SUSAN MARIE PANEK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057806

License Status

INACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

PANEK

Suffix

Business Name

SUSAN MARIE PANEK MD

Original Issue Date

09/15/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008