SUSAN C CONRAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099518

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CONRAD

Business Name

SUSAN C CONRAD

Original Issue Date

01/19/1999

Effective Date

01/19/1999

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2009