SUSAN J SICOTTE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088624

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

JEAN

Last Name

SICOTTE

Business Name

SUSAN J SICOTTE

Original Issue Date

06/22/1994

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023