SUSAN LYNN BARDOLPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144202

License Status

ACTIVE

Business

First Name

SUSAN

Middle

LYNN

Last Name

BARDOLPH

Suffix

Business Name

SUSAN LYNN BARDOLPH MD

Original Issue Date

08/28/2017

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023