SUSAN LYN TIEGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072787

License Status

NOT RENEWED

Business

First Name

SUSAN LYN

Last Name

TIEGS

Suffix

Business Name

SUSAN LYN TIEGS MD

Original Issue Date

06/02/1986

Effective Date

06/02/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006