SUSANA SALCEDO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050485

License Status

CANCELLED

Business

First Name

SUSANA

Last Name

SALCEDO

Suffix

Business Name

SUSANA SALCEDO MD

Original Issue Date

07/20/2005

Effective Date

07/20/2005

Expiration Date

07/19/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006