BORIS SUDEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047124

License Status

NOT RENEWED

Business

First Name

BORIS

Last Name

SUDEL

Suffix

Business Name

BORIS SUDEL MD

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

10/23/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Gastroenterology

Ever Disciplined

LastModifiedDate

11/03/2006