THOMAS W ZUSAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082776

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

ZUSAG

Suffix

Business Name

THOMAS W ZUSAG MD

Original Issue Date

06/28/1991

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013004528

Action

Suspension

Discipline Start Date

08/11/2013

Discipline End Date

06/18/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/19/2018.