JONATHAN LEE SUSA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047647

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

LEE

Last Name

SUSA

Suffix

Business Name

JONATHAN LEE SUSA DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/31/2008