SUSAN D ELBAUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037430

License Status

EXPIRED

Business

Title

First Name

SUSAN

Middle

Last Name

ELBAUM

Business Name

SUSAN D ELBAUM MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006