ELLIOT J SUSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079482

License Status

NOT RENEWED

Business

First Name

ELLIOT J

Last Name

SUSSMAN

Suffix

Business Name

ELLIOT J SUSSMAN MD

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2013