ERNEST MICHAEL SUSSMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000306

License Status

EXPIRED

Business

Title

First Name

ERNEST

Middle

MICHAEL

Last Name

SUSSMAN

Business Name

ERNEST MICHAEL SUSSMAN MD

Original Issue Date

03/01/2007

Effective Date

03/01/2007

Expiration Date

08/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology/Andrology

Ever Disciplined

LastModifiedDate

09/19/2007