SUSAN G BLITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060379

License Status

NOT RENEWED

Business

First Name

SUSAN G

Last Name

BLITZ

Suffix

Business Name

SUSAN G BLITZ MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006