SUSAN LAI BOONE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052276

License Status

EXPIRED

Business

Title

First Name

SUSAN

Middle

LAI

Last Name

BOONE

Business Name

SUSAN LAI BOONE MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/08/2010