SUZANNE FOX ALFANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062568

License Status

CANCELLED

Business

First Name

SUZANNE

Middle

FOX

Last Name

ALFANO

Suffix

Business Name

SUZANNE FOX ALFANO MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014