SUZANNE DANIELA CONZEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094337

License Status

NOT RENEWED

Business

First Name

SUZANNE DANIELA

Last Name

CONZEN

Suffix

Business Name

SUZANNE DANIELA CONZEN MD

Original Issue Date

10/09/1996

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021