SUSAN MARIE KSIAZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104545

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

KSIAZEK

Suffix

Business Name

SUSAN MARIE KSIAZEK MD

Original Issue Date

04/17/2001

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

04/15/2023