SUZANNE R LESAGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035461

License Status

EXPIRED

Business

First Name

SUZANNE

Middle

Last Name

LESAGE

Business Name

SUZANNE R LESAGE

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006