CYNTHIA W SU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031484

License Status

EXPIRED

Business

First Name

CYNTHIA W

Last Name

Business Name

CYNTHIA W SU

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006