SUSAN J LURIE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099039

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LURIE

Business Name

SUSAN J LURIE

Original Issue Date

09/14/1998

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011