SUSAN M PALAC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016091

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

PALAC

Suffix

Business Name

SUSAN M PALAC MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2012