SUZHANNA MARIE ELAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135210

License Status

NOT RENEWED

Business

Title

First Name

SUZHANNA

Middle

MARIE

Last Name

ELAM

Business Name

SUZHANNA MARIE ELAM MD

Original Issue Date

05/01/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017