SUSY L VERGOT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025879

License Status

EXPIRED

Business

First Name

SUSY

Middle

Last Name

VERGOT

Business Name

SUSY L VERGOT

Original Issue Date

07/11/1990

Effective Date

07/11/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006