MARY SUSAN MAISH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029648

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

SUSAN

Last Name

MAISH

Business Name

MARY SUSAN MAISH MD

Original Issue Date

05/15/1993

Effective Date

05/15/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006