SUSAN S ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027002

License Status

EXPIRED

Business

Title

First Name

SUSAN

Middle

Last Name

ANDERSON

Business Name

SUSAN S ANDERSON MD

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006