BETH A SUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032420

License Status

EXPIRED

Business

First Name

BETH A

Last Name

SUM

Business Name

BETH A SUM

Original Issue Date

03/31/1995

Effective Date

03/31/1995

Expiration Date

03/31/1998

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006