SUSAN M MOORE RIESBECK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027364

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

MOORE RIESBECK

Business Name

SUSAN M MOORE RIESBECK

Original Issue Date

07/01/1991

Effective Date

07/01/1991

Expiration Date

06/30/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006