SUSAN H IVEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073470

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

IVEY

Suffix

Business Name

SUSAN H IVEY MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1987

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006