DENNIS GERARD SUZARA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057798

License Status

EXPIRED

Business

Title

First Name

DENNIS

Middle

GERARD

Last Name

SUZARA

Business Name

DENNIS GERARD SUZARA DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

07/23/2014

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/13/2015