EMILY J SU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110467

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

Business Name

EMILY J SU

Original Issue Date

11/19/2003

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017