SUSAN L MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025420

License Status

EXPIRED

Business

First Name

SUSAN L

Last Name

MARTIN

Suffix

Business Name

SUSAN L MARTIN MD

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006