SUSAN H BANTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089645

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

BANTZ

Suffix

Business Name

SUSAN H BANTZ MD

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006