SUSAN E WHEATON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027295

License Status

EXPIRED

Business

First Name

SUSAN E

Last Name

WHEATON

Business Name

SUSAN E WHEATON

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006