CAMILLE S SUPERSON DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005011

License Status

NOT RENEWED

Business

First Name

CAMILLE S

Last Name

SUPERSON

Suffix

Business Name

CAMILLE S SUPERSON DC

Original Issue Date

07/22/1983

Effective Date

07/22/1983

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1993004219

Action

Probation

Discipline Start Date

06/29/1999

Discipline End Date

07/20/2004