LENNY JUDE SUJDAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049691

License Status

EXPIRED

Business

First Name

LENNY

Middle

JUDE

Last Name

SUJDAK

Suffix

Business Name

LENNY JUDE SUJDAK DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008