SUSAN M DITTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024523

License Status

EXPIRED

Business

First Name

SUSAN M

Last Name

DITTER

Suffix

Business Name

SUSAN M DITTER MD

Original Issue Date

08/17/1989

Effective Date

08/17/1989

Expiration Date

08/16/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006