SUSAN M LAGE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090877

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

LAGE

Business Name

SUSAN M LAGE

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60302

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006