SUZANNE N SUPRENANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135344

License Status

NOT RENEWED

Business

Title

First Name

SUZANNE

Middle

Last Name

SUPRENANT

Business Name

SUZANNE N SUPRENANT MD

Original Issue Date

05/15/2014

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017