SUSAN F SIROTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024861

License Status

EXPIRED

Business

First Name

SUSAN F

Last Name

SIROTA

Suffix

Business Name

SUSAN F SIROTA MD

Original Issue Date

05/18/1990

Effective Date

05/18/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006