MARTA M SHUSHUNOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014468

License Status

EXPIRED

Business

First Name

MARTA M

Last Name

SHUSHUNOV

Suffix

Business Name

MARTA M SHUSHUNOV MD

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

City

CHICGAO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006