SUSAN L KLENK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099004

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KLENK

Business Name

SUSAN L KLENK

Original Issue Date

09/04/1998

Effective Date

09/04/1998

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006