AMANDA SIUSAN ROBERTSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049239

License Status

EXPIRED

Business

First Name

AMANDA

Middle

SIUSAN

Last Name

ROBERTSON

Suffix

Business Name

AMANDA SIUSAN ROBERTSON DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/08/2010