SUSAN C COVENTRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024049

License Status

EXPIRED

Business

First Name

SUSAN C

Last Name

COVENTRY

Suffix

Business Name

SUSAN C COVENTRY MD

Original Issue Date

06/12/1989

Effective Date

06/12/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006