SERGEY SHUSHUNOV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015562

License Status

EXPIRED

Business

First Name

SERGEY

Last Name

SHUSHUNOV

Suffix

Business Name

SERGEY SHUSHUNOV MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2023

Case Number

2013001574

Action

Revocation

Discipline Start Date

06/22/2015

Discipline Reason

due to a conviction of a forcible felony.