SUSANA MASCARELL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038748

License Status

EXPIRED

Business

First Name

SUSANA

Last Name

MASCARELL

Business Name

SUSANA MASCARELL

Original Issue Date

07/15/1998

Effective Date

07/15/1998

Expiration Date

07/14/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006