SUSAN ELLYN REID Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028486

License Status

EXPIRED

Business

First Name

SUSAN ELLYN

Last Name

REID

Business Name

SUSAN ELLYN REID

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006