SUSAN L CHASSIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014230

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

CHASSIN

Business Name

SUSAN L CHASSIN

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006