AMY SUSAN PALLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059158

License Status

ACTIVE

Business

First Name

AMY SUSAN

Last Name

PALLER

Suffix

Business Name

AMY SUSAN PALLER MD

Original Issue Date

08/20/1979

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

05/05/2023