SUSANNE KAY TAEGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134879

License Status

NOT RENEWED

Business

Title

First Name

SUSANNE

Middle

KAY

Last Name

TAEGE

Business Name

SUSANNE KAY TAEGE MD

Original Issue Date

03/27/2014

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021