SUSAN SARAH PYATETSKY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047894

License Status

EXPIRED

Business

First Name

SUSAN

Middle

SARAH

Last Name

PYATETSKY

Suffix

Business Name

SUSAN SARAH PYATETSKY MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/03/2007