JERRY MICHAEL SURIANO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044238

License Status

EXPIRED

Business

First Name

JERRY

Middle

MICHAEL

Last Name

SURIANO

Suffix

Business Name

JERRY MICHAEL SURIANO DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006