SUSAN L MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086250

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

MARTIN

Suffix

Business Name

SUSAN L MARTIN MD

Original Issue Date

05/25/1993

Effective Date

05/25/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006