SUSANNE KOST WOLOSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030366

License Status

EXPIRED

Business

First Name

SUSANNE

Middle

KOST

Last Name

WOLOSON

Suffix

Business Name

SUSANNE KOST WOLOSON MD

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006